How much rates vary
Facilitymedian $427 · 10th to 90th $219 to $1,349Professionalmedian $468 · 10th to 90th $229 to $813
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 $218.78 Median $229.09 Typical High $229.09 | Facility | None | $218.78 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $173.78 Typical High $173.78 | Facility | 54 · Surgery only | $162.18 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $32.36 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $162.18 Typical High $162.18 | Facility | 78 · Unplanned return to OR | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $302.00 | Professional | None | $208.93 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | 54 · Surgery only | $162.18 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $34.67 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $154.88 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $151.36 | $154.88 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $707.95 | Professional | None | $354.81 | $478.63 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $380.19 Typical High $575.44 | Professional | 54 · Surgery only | $281.84 | $380.19 | $575.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $95.50 Typical High $141.25 | Professional | 55 · Aftercare only | $72.44 | $95.50 | $141.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $407.38 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $295.12 | $407.38 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $933.25 | Professional | None | $338.84 | $602.56 | $933.25 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $954.99 | Facility | None | $338.84 | $549.54 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $281.84 Median $537.03 Typical High $851.14 | Professional | None | $281.84 | $537.03 | $851.14 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $426.58 Typical High $1,174.90 | Facility | None | $131.83 | $426.58 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $1,659.59 | Professional | None | $239.88 | $549.54 | $1,659.59 |
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 $208.93 Median $389.05 Typical High $776.25 | Professional | None | $208.93 | $389.05 | $776.25 |
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 $109.65 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $109.65 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $43.65 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $109.65 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $43.65 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $22.91 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $22.91 |
Where Minnesota sits
The same service costs 5.1 times more in Alaska than in Utah. 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
$468
AK $871UT $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.