How much rates vary
Facilitymedian $398 · 10th to 90th $158 to $1,445Professionalmedian $372 · 10th to 90th $186 to $661
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 $158.49 Median $190.55 Typical High $1,445.44 | Facility | None | $158.49 | $190.55 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $120.23 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $120.23 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $23.99 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $134.90 Typical High $134.90 | Facility | 78 · Unplanned return to OR | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $190.55 | Professional | None | $158.49 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | 54 · Surgery only | $120.23 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $27.54 Typical High $28.84 | Professional | 55 · Aftercare only | $23.99 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $112.20 | $128.82 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $588.84 | Professional | None | $263.03 | $389.05 | $588.84 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $588.84 Typical High $870.96 | Professional | 50 · Both sides | $389.05 | $588.84 | $870.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $316.23 Typical High $467.74 | Professional | 54 · Surgery only | $208.93 | $316.23 | $467.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $79.43 Typical High $117.49 | Professional | 55 · Aftercare only | $54.95 | $79.43 | $117.49 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $331.13 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $218.78 | $331.13 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $933.25 | Facility | None | $316.23 | $489.78 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $457.09 Typical High $741.31 | Professional | None | $251.19 | $457.09 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $794.33 | Facility | None | $281.84 | $457.09 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $426.58 Typical High $660.69 | Professional | None | $234.42 | $426.58 | $660.69 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $1,148.15 | Facility | None | $125.89 | $338.84 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $1,380.38 | Professional | None | $199.53 | $416.87 | $1,380.38 |
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 $165.96 Median $309.03 Typical High $616.60 | Professional | None | $165.96 | $309.03 | $616.60 |
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 $79.43 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $79.43 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $31.62 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $15.85 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $18.62 Typical High $19.05 | Professional | 56 · Pre-op care only | $15.85 | $18.62 | $19.05 |
Where Minnesota sits
The same service costs 4.6 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· 3rd of 51
$372
AK $617FL $135
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.