How much rates vary
Facilitymedian $363 · 10th to 90th $107 to $2,951Professionalmedian $263 · 10th to 90th $141 to $490
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 $141.25 Typical High $141.25 | Facility | None | $107.15 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $107.15 Typical High $107.15 | Facility | 54 · Surgery only | $81.28 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $16.22 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $100.00 Typical High $100.00 | Facility | 78 · Unplanned return to OR | $75.86 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $169.82 | Professional | None | $107.15 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $104.71 Typical High $120.23 | Professional | 54 · Surgery only | $81.28 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $16.22 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $97.72 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $75.86 | $97.72 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $257.04 Median $2,454.71 Typical High $5,623.41 | Facility | None | $257.04 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $426.58 | Professional | None | $173.78 | $269.15 | $426.58 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $218.78 Typical High $338.84 | Professional | 54 · Surgery only | $141.25 | $218.78 | $338.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $54.95 Typical High $85.11 | Professional | 55 · Aftercare only | $35.48 | $54.95 | $85.11 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $229.09 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $147.91 | $229.09 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $724.44 | Facility | None | $245.47 | $380.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $512.86 | Professional | None | $186.21 | $309.03 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $602.56 | Facility | None | $218.78 | $354.81 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $489.78 | Professional | None | $186.21 | $281.84 | $489.78 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $1,096.48 Typical High $3,467.37 | Facility | None | $186.21 | $1,096.48 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $446.68 Typical High $1,096.48 | Professional | None | $165.96 | $446.68 | $1,096.48 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $467.74 | Professional | None | $123.03 | $223.87 | $467.74 |
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 $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $21.38 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $10.72 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $21.38 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $14.13 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.72 | $14.13 | $16.22 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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
$269
AK $437NJ $110
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.