How much rates vary
Facilitymedian $575 · 10th to 90th $151 to $3,090Professionalmedian $372 · 10th to 90th $200 to $724
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 $151.36 Median $208.93 Typical High $208.93 | Facility | None | $151.36 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $112.20 Median $154.88 Typical High $154.88 | Facility | 54 · Surgery only | $112.20 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.39 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $22.39 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $144.54 Typical High $144.54 | Facility | 78 · Unplanned return to OR | $104.71 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $239.88 | Professional | None | $151.36 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $154.88 Typical High $177.83 | Professional | 54 · Surgery only | $112.20 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.90 Typical High $35.48 | Professional | 55 · Aftercare only | $22.39 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $144.54 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $104.71 | $144.54 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $5,623.41 | Facility | None | $831.76 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $630.96 | Professional | None | $245.47 | $389.05 | $630.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $309.03 Typical High $501.19 | Professional | 54 · Surgery only | $194.98 | $309.03 | $501.19 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $79.43 Typical High $125.89 | Professional | 55 · Aftercare only | $48.98 | $79.43 | $125.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $323.59 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $204.17 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,047.13 | Facility | None | $354.81 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $741.31 | Professional | None | $263.03 | $446.68 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $891.25 | Facility | None | $316.23 | $524.81 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $707.95 | Professional | None | $263.03 | $416.87 | $707.95 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,148.15 Typical High $3,467.37 | Facility | None | $263.03 | $1,148.15 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $630.96 Typical High $1,621.81 | Professional | None | $234.42 | $630.96 | $1,621.81 |
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 $173.78 Median $316.23 Typical High $676.08 | Professional | None | $173.78 | $316.23 | $676.08 |
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 $75.86 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $75.86 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $30.20 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $15.14 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $23.99 |
Where Minnesota sits
The same service costs 4.2 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
$380
AK $646NJ $155
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.