How much rates vary
Facilitymedian $501 · 10th to 90th $151 to $2,692Professionalmedian $389 · 10th to 90th $204 to $724
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 $223.87 Typical High $223.87 | Facility | None | $151.36 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $112.20 Median $165.96 Typical High $165.96 | Facility | 54 · Surgery only | $112.20 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.39 Median $33.11 Typical High $33.11 | Facility | 55 · Aftercare only | $22.39 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $154.88 Typical High $154.88 | Facility | 78 · Unplanned return to OR | $104.71 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $223.87 | Professional | None | $151.36 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $158.49 Typical High $165.96 | Professional | 54 · Surgery only | $112.20 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $22.39 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $104.71 | $147.91 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $346.74 Median $2,630.27 Typical High $6,165.95 | Facility | None | $346.74 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $645.65 | Professional | None | $257.04 | $407.38 | $645.65 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $323.59 Typical High $512.86 | Professional | 54 · Surgery only | $204.17 | $323.59 | $512.86 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $83.18 Typical High $128.82 | Professional | 55 · Aftercare only | $51.29 | $83.18 | $128.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $213.80 | $338.84 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | None | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | None | $251.19 | $467.74 | $776.25 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $912.01 | Facility | None | $323.59 | $524.81 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $741.31 | Professional | None | $245.47 | $426.58 | $741.31 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $2,884.03 | Facility | None | $257.04 | $645.65 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $489.78 Typical High $1,659.59 | Professional | None | $223.87 | $489.78 | $1,659.59 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $165.96 Median $323.59 Typical High $676.08 | Professional | None | $165.96 | $323.59 | $676.08 |
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 $74.13 Median $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $74.13 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $30.20 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $22.39 Typical High $22.39 | Facility | 56 · Pre-op care only | $15.14 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $30.20 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.14 | $21.38 | $22.39 |
Where Minnesota sits
The same service costs 3.5 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
$398
AK $603FL $174
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.