How much rates vary
Facilitymedian $776 · 10th to 90th $155 to $2,951Professionalmedian $447 · 10th to 90th $224 to $851
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 $154.88 Median $269.15 Typical High $1,202.26 | Facility | None | $154.88 | $269.15 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $204.17 Typical High $204.17 | Facility | 54 · Surgery only | $117.49 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $40.74 Typical High $40.74 | Facility | 55 · Aftercare only | $23.44 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $190.55 Typical High $190.55 | Facility | 78 · Unplanned return to OR | $109.65 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $269.15 | Professional | None | $154.88 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $194.98 Typical High $204.17 | Professional | 54 · Surgery only | $117.49 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $38.90 Typical High $40.74 | Professional | 55 · Aftercare only | $23.44 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $181.97 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $109.65 | $181.97 | $190.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,995.26 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $776.25 | Professional | None | $257.04 | $457.09 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $371.54 Typical High $616.60 | Professional | 54 · Surgery only | $208.93 | $371.54 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $93.33 Typical High $154.88 | Professional | 55 · Aftercare only | $51.29 | $93.33 | $154.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $389.05 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $218.78 | $389.05 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,318.26 | Facility | None | $446.68 | $691.83 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $524.81 Typical High $954.99 | Professional | None | $269.15 | $524.81 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $1,096.48 | Facility | None | $389.05 | $630.96 | $1,096.48 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $912.01 | Professional | None | $257.04 | $467.74 | $912.01 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $1,023.29 Typical High $3,311.31 | Facility | None | $275.42 | $1,023.29 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $588.84 Typical High $1,995.26 | Professional | None | $288.40 | $588.84 | $1,995.26 |
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 $177.83 Median $389.05 Typical High $831.76 | Professional | None | $177.83 | $389.05 | $831.76 |
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 $77.62 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $77.62 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $30.90 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $15.49 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $77.62 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $30.90 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $15.49 | $25.70 | $26.92 |
Where Minnesota sits
The same service costs 4.5 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
$457
AK $759KY $170
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.