How much rates vary
Facilitymedian $229 · 10th to 90th $71 to $832Professionalmedian $174 · 10th to 90th $98 to $339
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 $70.79 Median $100.00 Typical High $100.00 | Facility | None | $70.79 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $75.86 Typical High $75.86 | Facility | 54 · Surgery only | $52.48 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $10.47 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $70.79 Typical High $70.79 | Facility | 78 · Unplanned return to OR | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $107.15 | Professional | None | $70.79 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $64.57 Typical High $75.86 | Professional | 54 · Surgery only | $52.48 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.88 Typical High $15.14 | Professional | 55 · Aftercare only | $10.47 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $60.26 Typical High $70.79 | Professional | 78 · Unplanned return to OR | $48.98 | $60.26 | $70.79 |
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 $107.15 Median $177.83 Typical High $302.00 | Professional | None | $107.15 | $177.83 | $302.00 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $141.25 Typical High $239.88 | Professional | 54 · Surgery only | $85.11 | $141.25 | $239.88 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $35.48 Typical High $58.88 | Professional | 55 · Aftercare only | $21.38 | $35.48 | $58.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $151.36 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $89.13 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $501.19 | Facility | None | $165.96 | $263.03 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $389.05 | Professional | None | $120.23 | $213.80 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $416.87 | Facility | None | $147.91 | $245.47 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $398.11 | Professional | None | $120.23 | $199.53 | $398.11 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $1,230.27 | Facility | None | $120.23 | $229.09 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $218.78 Typical High $741.31 | Professional | None | $117.49 | $218.78 | $741.31 |
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 $144.54 Typical High $302.00 | Professional | None | $85.11 | $144.54 | $302.00 |
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 $35.48 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $35.48 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $14.13 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $7.08 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $35.48 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.51 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.08 | $8.51 | $10.00 |
Where Minnesota sits
The same service costs 3.8 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
$178
AK $288KY $75.86
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.