How much rates vary
Facilitymedian $316 · 10th to 90th $95 to $871Professionalmedian $257 · 10th to 90th $138 to $501
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 $95.50 Median $151.36 Typical High $151.36 | Facility | None | $95.50 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $112.20 Typical High $112.20 | Facility | 54 · Surgery only | $72.44 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $14.45 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $104.71 Typical High $104.71 | Facility | 78 · Unplanned return to OR | $67.61 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $151.36 | Professional | None | $95.50 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $97.72 Typical High $112.20 | Professional | 54 · Surgery only | $72.44 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.50 Typical High $22.39 | Professional | 55 · Aftercare only | $14.45 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $91.20 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $67.61 | $91.20 | $104.71 |
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 $147.91 Median $263.03 Typical High $446.68 | Professional | None | $147.91 | $263.03 | $446.68 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $213.80 Typical High $354.81 | Professional | 54 · Surgery only | $117.49 | $213.80 | $354.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $52.48 Typical High $89.13 | Professional | 55 · Aftercare only | $29.51 | $52.48 | $89.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $223.87 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $123.03 | $223.87 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $741.31 | Facility | None | $251.19 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $309.03 Typical High $588.84 | Professional | None | $162.18 | $309.03 | $588.84 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $630.96 | Facility | None | $223.87 | $363.08 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $588.84 | Professional | None | $162.18 | $269.15 | $588.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $1,148.15 | Facility | None | $125.89 | $295.12 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $1,122.02 | Professional | None | $181.97 | $346.74 | $1,122.02 |
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 $120.23 Median $218.78 Typical High $457.09 | Professional | None | $120.23 | $218.78 | $457.09 |
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 $47.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $47.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $19.05 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $9.55 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.88 Typical High $15.14 | Professional | 56 · Pre-op care only | $9.55 | $12.88 | $15.14 |
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
$257
AK $389KY $110
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.