How much rates vary
Facilitymedian $417 · 10th to 90th $135 to $1,096Professionalmedian $427 · 10th to 90th $195 to $891
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 $134.90 Median $295.12 Typical High $295.12 | Facility | None | $134.90 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $100.00 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $19.95 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $204.17 Typical High $204.17 | Facility | 78 · Unplanned return to OR | $93.33 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $323.59 | Professional | None | $134.90 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $100.00 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $19.95 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $177.83 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $93.33 | $177.83 | $204.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $870.96 | Facility | None | $275.42 | $436.52 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $776.25 | Professional | None | $199.53 | $446.68 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $354.81 Typical High $616.60 | Professional | 54 · Surgery only | $158.49 | $354.81 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $89.13 Typical High $154.88 | Professional | 55 · Aftercare only | $40.74 | $89.13 | $154.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $371.54 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $165.96 | $371.54 | $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 $275.42 Median $549.54 Typical High $1,148.15 | Professional | None | $275.42 | $549.54 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,122.02 | Facility | None | $398.11 | $645.65 | $1,122.02 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $954.99 | Professional | None | $239.88 | $478.63 | $954.99 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,148.15 | Facility | None | $125.89 | $331.13 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $660.69 Typical High $1,445.44 | Professional | None | $281.84 | $660.69 | $1,445.44 |
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 $162.18 Median $371.54 Typical High $891.25 | Professional | None | $162.18 | $371.54 | $891.25 |
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 $67.61 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $67.61 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $26.92 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $13.49 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $67.61 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $13.49 | $25.70 | $29.51 |
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
$427
WI $490KY $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.