How much rates vary
Facilitymedian $347 · 10th to 90th $105 to $1,349Professionalmedian $295 · 10th to 90th $151 to $589
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 $104.71 Median $169.82 Typical High $169.82 | Facility | None | $104.71 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $79.43 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $15.85 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $120.23 Typical High $120.23 | Facility | 78 · Unplanned return to OR | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $190.55 | Professional | None | $104.71 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $123.03 Typical High $141.25 | Professional | 54 · Surgery only | $79.43 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $15.85 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $114.82 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $74.13 | $114.82 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,949.84 | Facility | None | $602.56 | $977.24 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $512.86 | Professional | None | $169.82 | $316.23 | $512.86 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $251.19 Typical High $407.38 | Professional | 54 · Surgery only | $134.90 | $251.19 | $407.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $63.10 Typical High $100.00 | Professional | 55 · Aftercare only | $33.88 | $63.10 | $100.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $263.03 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $141.25 | $263.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $870.96 | Facility | None | $295.12 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $602.56 | Professional | None | $181.97 | $338.84 | $602.56 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $741.31 | Facility | None | $263.03 | $426.58 | $741.31 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $588.84 | Professional | None | $181.97 | $316.23 | $588.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $1,288.25 | Facility | None | $125.89 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $524.81 Typical High $1,318.26 | Professional | None | $190.55 | $524.81 | $1,318.26 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,862.09 | Facility | None | $125.89 | $426.58 | $1,862.09 |
United Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $562.34 | Professional | None | $123.03 | $239.88 | $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 $52.48 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $52.48 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $20.89 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $10.47 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $52.48 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $20.89 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.60 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.47 | $16.60 | $19.05 |
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
$302
AK $437NJ $126
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.