How much rates vary
Facilitymedian $661 · 10th to 90th $126 to $4,074Professionalmedian $355 · 10th to 90th $182 to $676
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 $125.89 Median $181.97 Typical High $3,801.89 | Facility | None | $125.89 | $181.97 | $3,801.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $93.33 Median $134.90 Typical High $134.90 | Facility | 54 · Surgery only | $93.33 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $19.05 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $125.89 Typical High $125.89 | Facility | 78 · Unplanned return to OR | $87.10 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $208.93 | Professional | None | $125.89 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $93.33 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $19.05 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $114.82 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $87.10 | $114.82 | $125.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,128.61 Typical High $11,748.98 | Facility | None | $2,454.71 | $5,128.61 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $602.56 | Professional | None | $218.78 | $354.81 | $602.56 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $281.84 Typical High $478.63 | Professional | 54 · Surgery only | $173.78 | $281.84 | $478.63 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | 55 · Aftercare only | $43.65 | $70.79 | $120.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $295.12 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $181.97 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $954.99 | Facility | None | $316.23 | $489.78 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $831.76 | Professional | None | $295.12 | $478.63 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $794.33 | Facility | None | $281.84 | $457.09 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $776.25 | Professional | None | $257.04 | $436.52 | $776.25 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $3,890.45 | Facility | None | $234.42 | $1,230.27 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $426.58 Typical High $1,000.00 | Professional | None | $181.97 | $426.58 | $1,000.00 |
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 $147.91 Median $281.84 Typical High $588.84 | Professional | None | $147.91 | $281.84 | $588.84 |
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 $63.10 Median $91.20 Typical High $91.20 | Facility | 52 · Reduced service | $63.10 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $25.12 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $18.20 Typical High $18.20 | Facility | 56 · Pre-op care only | $12.59 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $63.10 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $25.12 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $12.59 | $16.60 | $18.20 |
Where Minnesota sits
The same service costs 3.9 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
$372
AK $550KY $141
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.