How much rates vary
Facilitymedian $355 · 10th to 90th $123 to $912Professionalmedian $339 · 10th to 90th $174 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 $123.03 Median $204.17 Typical High $204.17 | Facility | None | $123.03 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $91.20 Median $154.88 Typical High $154.88 | Facility | 54 · Surgery only | $91.20 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $18.20 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $144.54 Typical High $144.54 | Facility | 78 · Unplanned return to OR | $85.11 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $204.17 | Professional | None | $123.03 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $138.04 Typical High $154.88 | Professional | 54 · Surgery only | $91.20 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $18.20 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $128.82 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $85.11 | $128.82 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $1,148.15 | Facility | None | $309.03 | $630.96 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $457.09 Median $831.76 Typical High $1,548.82 | Facility | 50 · Both sides | $457.09 | $831.76 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $575.44 | Professional | None | $177.83 | $331.13 | $575.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $501.19 Typical High $870.96 | Professional | 50 · Both sides | $269.15 | $501.19 | $870.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $269.15 Typical High $457.09 | Professional | 54 · Surgery only | $144.54 | $269.15 | $457.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $69.18 Typical High $114.82 | Professional | 55 · Aftercare only | $38.90 | $69.18 | $114.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $281.84 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $151.36 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $933.25 | Facility | None | $309.03 | $478.63 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $794.33 | Professional | None | $251.19 | $446.68 | $794.33 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $776.25 | Facility | None | $275.42 | $446.68 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $758.58 | Professional | None | $213.80 | $380.19 | $758.58 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,230.27 | Facility | None | $125.89 | $323.59 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $1,023.29 | Professional | None | $208.93 | $478.63 | $1,023.29 |
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 $138.04 Median $316.23 Typical High $645.65 | Professional | None | $138.04 | $316.23 | $645.65 |
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 $61.66 Median $102.33 Typical High $102.33 | Facility | 52 · Reduced service | $61.66 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $24.55 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $20.42 Typical High $20.42 | Facility | 56 · Pre-op care only | $12.30 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $24.55 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $18.20 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.30 | $18.20 | $20.42 |
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
$347
AK $457KY $102
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.