How much rates vary
Facilitymedian $501 · 10th to 90th $107 to $3,981Professionalmedian $309 · 10th to 90th $151 to $617
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 $107.15 Median $181.97 Typical High $181.97 | Facility | None | $107.15 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $138.04 Typical High $138.04 | Facility | 54 · Surgery only | $79.43 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $27.54 Typical High $27.54 | Facility | 55 · Aftercare only | $15.85 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $128.82 Typical High $128.82 | Facility | 78 · Unplanned return to OR | $74.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $208.93 | Professional | None | $107.15 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $128.82 Typical High $147.91 | Professional | 54 · Surgery only | $79.43 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $26.30 Typical High $29.51 | Professional | 55 · Aftercare only | $15.85 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $120.23 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $74.13 | $120.23 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $5,128.61 Typical High $12,302.69 | Facility | None | $2,238.72 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $537.03 | Professional | None | $173.78 | $323.59 | $537.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $257.04 Typical High $436.52 | Professional | 54 · Surgery only | $138.04 | $257.04 | $436.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $64.57 Typical High $104.71 | Professional | 55 · Aftercare only | $34.67 | $64.57 | $104.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $269.15 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $144.54 | $269.15 | $457.09 |
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 $186.21 Median $354.81 Typical High $630.96 | Professional | None | $186.21 | $354.81 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $776.25 | Facility | None | $281.84 | $446.68 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $630.96 | Professional | None | $186.21 | $323.59 | $630.96 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $1,096.48 Typical High $3,090.30 | Facility | None | $194.98 | $1,096.48 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $524.81 Typical High $1,412.54 | Professional | None | $194.98 | $524.81 | $1,412.54 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $562.34 | Professional | None | $123.03 | $245.47 | $562.34 |
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 $53.70 Median $91.20 Typical High $91.20 | Facility | 52 · Reduced service | $53.70 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $21.38 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $18.20 Typical High $18.20 | Facility | 56 · Pre-op care only | $10.72 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $53.70 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $21.38 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $17.38 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.72 | $17.38 | $19.95 |
Where Minnesota sits
The same service costs 3.4 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· 4th of 51
$316
AK $447FL $132
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.