How much rates vary
Facilitymedian $339 · 10th to 90th $91 to $2,951Professionalmedian $229 · 10th to 90th $117 to $417
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 $91.20 Median $128.82 Typical High $128.82 | Facility | None | $91.20 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $69.18 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $13.80 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $89.13 Typical High $89.13 | Facility | 78 · Unplanned return to OR | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $128.82 | Professional | None | $91.20 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $89.13 Typical High $95.50 | Professional | 54 · Surgery only | $69.18 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.78 Typical High $19.05 | Professional | 55 · Aftercare only | $13.80 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $83.18 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $64.57 | $83.18 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $489.78 Median $2,454.71 Typical High $5,623.41 | Facility | None | $489.78 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $371.54 | Professional | None | $151.36 | $234.42 | $371.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $186.21 Typical High $302.00 | Professional | 54 · Surgery only | $120.23 | $186.21 | $302.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $46.77 Typical High $74.13 | Professional | 55 · Aftercare only | $30.20 | $46.77 | $74.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $194.98 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $125.89 | $194.98 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $630.96 | Facility | None | $208.93 | $323.59 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $457.09 | Professional | None | $151.36 | $281.84 | $457.09 |
Health Partners Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $524.81 | Facility | None | $186.21 | $309.03 | $524.81 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $426.58 | Professional | None | $151.36 | $263.03 | $426.58 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $1,023.29 Typical High $3,090.30 | Facility | None | $158.49 | $1,023.29 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $1,445.44 | Professional | None | $123.03 | $257.04 | $1,445.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $363.08 | Professional | None | $97.72 | $181.97 | $363.08 |
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 $45.71 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $45.71 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $18.20 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $9.12 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $12.88 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 4th of 51
$234
AK $363FL $91.20
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.