How much rates vary
Facilitymedian $513 · 10th to 90th $145 to $1,259Professionalmedian $447 · 10th to 90th $224 to $1,047
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 $144.54 Median $346.74 Typical High $724.44 | Facility | None | $144.54 | $346.74 | $724.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $107.15 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $107.15 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $21.38 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $239.88 Typical High $239.88 | Facility | 78 · Unplanned return to OR | $100.00 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $346.74 | Professional | None | $144.54 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $199.53 Typical High $257.04 | Professional | 54 · Surgery only | $107.15 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $39.81 Typical High $51.29 | Professional | 55 · Aftercare only | $21.38 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $186.21 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $100.00 | $186.21 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $758.58 | Facility | None | $131.83 | $316.23 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $933.25 | Professional | None | $263.03 | $524.81 | $933.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $426.58 Typical High $741.31 | Professional | 54 · Surgery only | $208.93 | $426.58 | $741.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $104.71 Typical High $181.97 | Professional | 55 · Aftercare only | $52.48 | $104.71 | $181.97 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $436.52 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $218.78 | $436.52 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,659.59 | Facility | None | $537.03 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $549.54 Typical High $1,202.26 | Professional | None | $251.19 | $549.54 | $1,202.26 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $1,122.02 | Professional | None | $234.42 | $501.19 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,445.44 | Facility | None | $125.89 | $389.05 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $724.44 Typical High $2,570.40 | Professional | None | $309.03 | $724.44 | $2,570.40 |
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 $158.49 Median $371.54 Typical High $954.99 | Professional | None | $158.49 | $371.54 | $954.99 |
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 $70.79 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $70.79 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $28.84 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $14.45 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $70.79 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $28.84 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $26.92 Typical High $34.67 | Professional | 56 · Pre-op care only | $14.45 | $26.92 | $34.67 |
Where Minnesota sits
The same service costs 3.6 times more in Wisconsin 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
WI $603KY $166
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.