How much rates vary
Facilitymedian $427 · 10th to 90th $151 to $1,230Professionalmedian $398 · 10th to 90th $219 to $794
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 $151.36 Median $234.42 Typical High $234.42 | Facility | None | $151.36 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $114.82 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $22.91 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $165.96 Typical High $165.96 | Facility | 78 · Unplanned return to OR | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $234.42 | Professional | None | $151.36 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $151.36 Typical High $177.83 | Professional | 54 · Surgery only | $114.82 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $30.20 Typical High $35.48 | Professional | 55 · Aftercare only | $22.91 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $141.25 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $107.15 | $141.25 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,778.28 | Facility | None | $524.81 | $933.25 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $707.95 | Professional | None | $229.09 | $416.87 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $331.13 Typical High $562.34 | Professional | 54 · Surgery only | $186.21 | $331.13 | $562.34 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $83.18 Typical High $138.04 | Professional | 55 · Aftercare only | $45.71 | $83.18 | $138.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $346.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $194.98 | $346.74 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $501.19 Typical High $870.96 | Professional | None | $257.04 | $501.19 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $977.24 | Facility | None | $354.81 | $562.34 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $933.25 | Professional | None | $257.04 | $426.58 | $933.25 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,230.27 | Facility | None | $125.89 | $331.13 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $562.34 Typical High $1,778.28 | Professional | None | $288.40 | $562.34 | $1,778.28 |
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 $194.98 Median $346.74 Typical High $724.44 | Professional | None | $194.98 | $346.74 | $724.44 |
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 $75.86 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $75.86 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $30.20 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $15.14 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $23.44 |
Where Minnesota sits
The same service costs 3.5 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
$407
AK $617KY $178
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.