How much rates vary
Facilitymedian $871 · 10th to 90th $148 to $4,266Professionalmedian $490 · 10th to 90th $229 to $1,122
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 $147.91 Median $363.08 Typical High $363.08 | Facility | None | $147.91 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $109.65 Median $269.15 Typical High $269.15 | Facility | 54 · Surgery only | $109.65 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $21.88 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $251.19 Typical High $251.19 | Facility | 78 · Unplanned return to OR | $102.33 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $398.11 | Professional | None | $147.91 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $257.04 Typical High $269.15 | Professional | 54 · Surgery only | $109.65 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $21.88 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $239.88 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $102.33 | $239.88 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $7,244.36 | Facility | None | $2,187.76 | $4,570.88 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $562.34 Typical High $954.99 | Professional | None | $251.19 | $562.34 | $954.99 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $446.68 Typical High $758.58 | Professional | 54 · Surgery only | $204.17 | $446.68 | $758.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $109.65 Typical High $190.55 | Professional | 55 · Aftercare only | $50.12 | $109.65 | $190.55 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $467.74 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $213.80 | $467.74 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,737.80 | Facility | None | $562.34 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $1,230.27 | Professional | None | $257.04 | $575.44 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,479.11 | Facility | None | $524.81 | $851.14 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $512.86 Typical High $1,174.90 | Professional | None | $239.88 | $512.86 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,230.27 Typical High $3,981.07 | Facility | None | $288.40 | $1,230.27 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $2,818.38 | Professional | None | $416.87 | $891.25 | $2,818.38 |
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 $173.78 Median $446.68 Typical High $1,148.15 | Professional | None | $173.78 | $446.68 | $1,148.15 |
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 $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $74.13 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $29.51 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $14.79 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $173.78 Typical High $181.97 | Professional | 52 · Reduced service | $74.13 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $69.18 Typical High $72.44 | Professional | 53 · Discontinued | $29.51 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $34.67 Typical High $36.31 | Professional | 56 · Pre-op care only | $14.79 | $34.67 | $36.31 |
Where Minnesota sits
The same service costs 4.0 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
$525
AK $759KY $191
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.