How much rates vary
Facilitymedian $562 · 10th to 90th $186 to $6,607Professionalmedian $457 · 10th to 90th $234 to $813
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 $186.21 Median $213.80 Typical High $213.80 | Facility | None | $186.21 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $138.04 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $27.54 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $151.36 Typical High $151.36 | Facility | 78 · Unplanned return to OR | $128.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $229.09 | Professional | None | $186.21 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $165.96 | Professional | 54 · Surgery only | $138.04 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $128.82 | $151.36 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $14,454.40 | Facility | None | $4,570.88 | $7,413.10 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $707.95 | Professional | None | $302.00 | $457.09 | $707.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $562.34 | Professional | 54 · Surgery only | $239.88 | $363.08 | $562.34 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $91.20 Typical High $134.90 | Professional | 55 · Aftercare only | $61.66 | $91.20 | $134.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $380.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $257.04 | $380.19 | $588.84 |
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 $380.19 Median $602.56 Typical High $933.25 | Professional | None | $380.19 | $602.56 | $933.25 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $870.96 | Facility | None | $309.03 | $512.86 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $851.14 | Professional | None | $316.23 | $524.81 | $851.14 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,698.24 Typical High $4,786.30 | Facility | None | $295.12 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $549.54 Typical High $1,380.38 | Professional | None | $257.04 | $549.54 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $218.78 Median $398.11 Typical High $812.83 | Professional | None | $218.78 | $398.11 | $812.83 |
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 $93.33 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $93.33 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $18.62 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $22.39 |
Where Minnesota sits
The same service costs 5.9 times more in Oklahoma than in Utah. 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· 6th of 51
$457
OK $1,175UT $200
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.