How much rates vary
Facilitymedian $759 · 10th to 90th $126 to $7,586Professionalmedian $363 · 10th to 90th $178 to $759
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 $125.89 Median $223.87 Typical High $7,585.78 | Facility | None | $125.89 | $223.87 | $7,585.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $93.33 Median $165.96 Typical High $165.96 | Facility | 54 · Surgery only | $93.33 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $33.11 Typical High $33.11 | Facility | 55 · Aftercare only | $18.62 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $154.88 Typical High $154.88 | Facility | 78 · Unplanned return to OR | $87.10 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $251.19 | Professional | None | $125.89 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $158.49 Typical High $181.97 | Professional | 54 · Surgery only | $93.33 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $31.62 Typical High $36.31 | Professional | 55 · Aftercare only | $18.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $147.91 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $87.10 | $147.91 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $758.58 Median $5,128.61 Typical High $12,302.69 | Facility | None | $758.58 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $660.69 | Professional | None | $204.17 | $389.05 | $660.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $309.03 Typical High $524.81 | Professional | 54 · Surgery only | $165.96 | $309.03 | $524.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $77.62 Typical High $128.82 | Professional | 55 · Aftercare only | $40.74 | $77.62 | $128.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $323.59 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $173.78 | $323.59 | $549.54 |
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 $218.78 Median $416.87 Typical High $776.25 | Professional | None | $218.78 | $416.87 | $776.25 |
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 $218.78 Median $380.19 Typical High $758.58 | Professional | None | $218.78 | $380.19 | $758.58 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,148.15 Typical High $3,311.31 | Facility | None | $229.09 | $1,148.15 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $660.69 Typical High $1,698.24 | Professional | None | $245.47 | $660.69 | $1,698.24 |
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 $147.91 Median $302.00 Typical High $691.83 | Professional | None | $147.91 | $302.00 | $691.83 |
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 $63.10 Median $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $63.10 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $25.12 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $22.39 Typical High $22.39 | Facility | 56 · Pre-op care only | $12.59 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $63.10 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $25.12 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $21.38 Typical High $24.55 | Professional | 56 · Pre-op care only | $12.59 | $21.38 | $24.55 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Washington, DC. 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
$380
AK $525DC $158
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.