How much rates vary
Facilitymedian $617 · 10th to 90th $158 to $3,981Professionalmedian $407 · 10th to 90th $219 to $794
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 $158.49 Median $223.87 Typical High $223.87 | Facility | None | $158.49 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $120.23 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $120.23 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $23.99 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $158.49 Typical High $158.49 | Facility | 78 · Unplanned return to OR | $112.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $257.04 | Professional | None | $158.49 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $169.82 Typical High $194.98 | Professional | 54 · Surgery only | $120.23 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $33.88 Typical High $38.90 | Professional | 55 · Aftercare only | $23.99 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $158.49 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $112.20 | $158.49 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $954.99 Median $5,128.61 Typical High $12,302.69 | Facility | None | $954.99 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $691.83 | Professional | None | $263.03 | $426.58 | $691.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $338.84 Typical High $549.54 | Professional | 54 · Surgery only | $208.93 | $338.84 | $549.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $85.11 Typical High $134.90 | Professional | 55 · Aftercare only | $52.48 | $85.11 | $134.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $354.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $218.78 | $354.81 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,148.15 | Facility | None | $389.05 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $812.83 | Professional | None | $275.42 | $489.78 | $812.83 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $977.24 | Facility | None | $346.74 | $562.34 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $776.25 | Professional | None | $275.42 | $446.68 | $776.25 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,096.48 Typical High $3,311.31 | Facility | None | $288.40 | $1,096.48 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $691.83 Typical High $1,737.80 | Professional | None | $257.04 | $691.83 | $1,737.80 |
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 $186.21 Median $346.74 Typical High $741.31 | Professional | None | $186.21 | $346.74 | $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 $79.43 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $79.43 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $31.62 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $15.85 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $79.43 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $31.62 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $22.39 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.85 | $22.39 | $25.70 |
Where Minnesota sits
The same service costs 3.8 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
$417
AK $646NJ $170
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.