How much rates vary
Facilitymedian $603 · 10th to 90th $135 to $3,802Professionalmedian $380 · 10th to 90th $200 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 $134.90 Median $218.78 Typical High $218.78 | Facility | None | $134.90 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $102.33 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $102.33 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $20.42 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $151.36 Typical High $151.36 | Facility | 78 · Unplanned return to OR | $95.50 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $251.19 | Professional | None | $134.90 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $162.18 Typical High $186.21 | Professional | 54 · Surgery only | $102.33 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $20.42 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $151.36 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $95.50 | $151.36 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $5,128.61 Typical High $12,302.69 | Facility | None | $851.14 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $645.65 | Professional | None | $223.87 | $398.11 | $645.65 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $316.23 Typical High $512.86 | Professional | 54 · Surgery only | $177.83 | $316.23 | $512.86 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $81.28 Typical High $125.89 | Professional | 55 · Aftercare only | $44.67 | $81.28 | $125.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $331.13 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $186.21 | $331.13 | $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 $234.42 Median $426.58 Typical High $758.58 | Professional | None | $234.42 | $426.58 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $933.25 | Facility | None | $331.13 | $537.03 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $758.58 | Professional | None | $234.42 | $407.38 | $758.58 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $1,023.29 Typical High $3,090.30 | Facility | None | $245.47 | $1,023.29 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $707.95 Typical High $1,698.24 | Professional | None | $269.15 | $707.95 | $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 $165.96 Median $323.59 Typical High $741.31 | Professional | None | $165.96 | $323.59 | $741.31 |
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 $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $67.61 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $43.65 | Facility | 53 · Discontinued | $26.92 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.88 Typical High $21.88 | Facility | 56 · Pre-op care only | $13.49 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $67.61 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $26.92 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.88 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.49 | $21.88 | $25.12 |
Where Minnesota sits
The same service costs 3.5 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
$398
AK $575NJ $166
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.