How much rates vary
Facilitymedian $501 · 10th to 90th $126 to $2,455Professionalmedian $282 · 10th to 90th $145 to $501
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 $112.20 Median $676.08 Typical High $2,511.89 | Facility | None | $112.20 | $676.08 | $2,511.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $107.15 Typical High $107.15 | Facility | 54 · Surgery only | $83.18 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $16.98 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $100.00 Typical High $100.00 | Facility | 78 · Unplanned return to OR | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | None | $112.20 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $102.33 Typical High $107.15 | Professional | 54 · Surgery only | $83.18 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $20.89 Typical High $21.38 | Professional | 55 · Aftercare only | $16.98 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $97.72 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $77.62 | $97.72 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,047.13 Typical High $1,949.84 | Facility | None | $398.11 | $1,047.13 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $457.09 | Professional | None | $194.98 | $302.00 | $457.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $245.47 Typical High $371.54 | Professional | 54 · Surgery only | $154.88 | $245.47 | $371.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $61.66 Typical High $91.20 | Professional | 55 · Aftercare only | $39.81 | $61.66 | $91.20 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $251.19 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $162.18 | $251.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $707.95 | Facility | None | $234.42 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $549.54 | Professional | None | $177.83 | $331.13 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $588.84 | Facility | None | $208.93 | $346.74 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $489.78 | Professional | None | $177.83 | $316.23 | $489.78 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,148.15 | Facility | None | $125.89 | $323.59 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $1,096.48 | Professional | None | $169.82 | $323.59 | $1,096.48 |
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 $234.42 Typical High $501.19 | Professional | None | $138.04 | $234.42 | $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 $56.23 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $56.23 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $11.22 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $13.80 Typical High $14.45 | Professional | 56 · Pre-op care only | $11.22 | $13.80 | $14.45 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$302
AK $501FL $129
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.