How much rates vary
Facilitymedian $309 · 10th to 90th $110 to $851Professionalmedian $288 · 10th to 90th $145 to $537
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 $109.65 Median $141.25 Typical High $141.25 | Facility | None | $109.65 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $104.71 Typical High $104.71 | Facility | 54 · Surgery only | $81.28 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $20.89 Typical High $20.89 | Facility | 55 · Aftercare only | $16.22 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $97.72 Typical High $97.72 | Facility | 78 · Unplanned return to OR | $75.86 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | None | $109.65 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $104.71 Typical High $107.15 | Professional | 54 · Surgery only | $81.28 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $20.89 Typical High $21.38 | Professional | 55 · Aftercare only | $16.22 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $97.72 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $75.86 | $97.72 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,479.11 | Facility | None | $263.03 | $660.69 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $467.74 | Professional | None | $177.83 | $288.40 | $467.74 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $229.09 Typical High $371.54 | Professional | 54 · Surgery only | $144.54 | $229.09 | $371.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $57.54 Typical High $93.33 | Professional | 55 · Aftercare only | $35.48 | $57.54 | $93.33 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $239.88 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $151.36 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $741.31 | Facility | None | $245.47 | $380.19 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $645.65 | Professional | None | $251.19 | $398.11 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $616.60 | Facility | None | $218.78 | $363.08 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $602.56 | Professional | None | $218.78 | $354.81 | $602.56 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $1,230.27 | Facility | None | $125.89 | $302.00 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $371.54 Typical High $831.76 | Professional | None | $158.49 | $371.54 | $831.76 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $501.19 | Professional | None | $138.04 | $269.15 | $501.19 |
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 $53.70 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $21.88 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $10.96 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.96 | $14.13 | $14.13 |
Where Minnesota sits
The same service costs 4.1 times more in Alaska 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· 4th of 51
$288
AK $457KY $112
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.