How much rates vary
Facilitymedian $141 · 10th to 90th $71 to $661Professionalmedian $195 · 10th to 90th $105 to $363
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $15.85 Median $114.82 Typical High $478.63 | Facility | None | $15.85 | $114.82 | $478.63 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $87.10 Typical High $87.10 | Facility | 54 · Surgery only | $52.48 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $10.47 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $81.28 Typical High $81.28 | Facility | 78 · Unplanned return to OR | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $173.78 | Professional | None | $70.79 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $72.44 Typical High $87.10 | Professional | 54 · Surgery only | $52.48 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $10.47 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $67.61 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $48.98 | $67.61 | $81.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,479.11 | Facility | None | $263.03 | $660.69 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $338.84 | Professional | None | $112.20 | $194.98 | $338.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $154.88 Typical High $269.15 | Professional | 54 · Surgery only | $91.20 | $154.88 | $269.15 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $39.81 Typical High $66.07 | Professional | 55 · Aftercare only | $22.39 | $39.81 | $66.07 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $162.18 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $95.50 | $162.18 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $575.44 | Facility | None | $194.98 | $302.00 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $426.58 | Professional | None | $120.23 | $223.87 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $478.63 | Facility | None | $169.82 | $275.42 | $478.63 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $446.68 | Professional | None | $117.49 | $204.17 | $446.68 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $1,148.15 | Facility | None | $125.89 | $234.42 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $512.86 | Professional | None | $151.36 | $213.80 | $512.86 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $338.84 | Professional | None | $85.11 | $162.18 | $338.84 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $34.67 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $34.67 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $14.13 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $7.08 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $14.13 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $11.48 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 3rd of 51
$191
AK $309KY $79.43
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.