How much rates vary
Facilitymedian $372 · 10th to 90th $93 to $3,162Professionalmedian $263 · 10th to 90th $135 to $490
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 $93.33 Median $134.90 Typical High $134.90 | Facility | None | $93.33 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $100.00 Typical High $100.00 | Facility | 54 · Surgery only | $69.18 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $13.80 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $93.33 Typical High $93.33 | Facility | 78 · Unplanned return to OR | $64.57 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $147.91 | Professional | None | $93.33 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $95.50 Typical High $100.00 | Professional | 54 · Surgery only | $69.18 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $19.05 Typical High $19.95 | Professional | 55 · Aftercare only | $13.80 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $89.13 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $64.57 | $89.13 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $3,090.30 Typical High $6,918.31 | Facility | None | $660.69 | $3,090.30 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $436.52 | Professional | None | $158.49 | $263.03 | $436.52 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $208.93 Typical High $354.81 | Professional | 54 · Surgery only | $125.89 | $208.93 | $354.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $52.48 Typical High $87.10 | Professional | 55 · Aftercare only | $31.62 | $52.48 | $87.10 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $218.78 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $131.83 | $218.78 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $691.83 | Facility | None | $234.42 | $363.08 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $616.60 | Professional | None | $213.80 | $346.74 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $588.84 | Facility | None | $208.93 | $338.84 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $562.34 | Professional | None | $190.55 | $323.59 | $562.34 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $1,023.29 Typical High $3,090.30 | Facility | None | $154.88 | $1,023.29 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $331.13 Typical High $724.44 | Professional | None | $141.25 | $331.13 | $724.44 |
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 $120.23 Median $223.87 Typical High $446.68 | Professional | None | $120.23 | $223.87 | $446.68 |
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 $45.71 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $45.71 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $18.62 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.33 Median $13.49 Typical High $13.49 | Facility | 56 · Pre-op care only | $9.33 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $12.88 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.33 | $12.88 | $13.49 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 3rd of 51
$275
WI $398KY $115
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.