How much rates vary
Facilitymedian $589 · 10th to 90th $186 to $2,239Professionalmedian $490 · 10th to 90th $257 to $871
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 $257.04 Typical High $257.04 | Facility | None | $186.21 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $141.25 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $28.18 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $177.83 Typical High $177.83 | Facility | 78 · Unplanned return to OR | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $257.04 | Professional | None | $186.21 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $177.83 Typical High $190.55 | Professional | 54 · Surgery only | $141.25 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $28.18 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $165.96 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $131.83 | $165.96 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $446.68 Median $1,479.11 Typical High $3,388.44 | Facility | None | $446.68 | $1,479.11 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $776.25 | Professional | None | $323.59 | $489.78 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $616.60 | Professional | 54 · Surgery only | $257.04 | $398.11 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $100.00 Typical High $151.36 | Professional | 55 · Aftercare only | $66.07 | $100.00 | $151.36 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $416.87 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $269.15 | $416.87 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,258.93 | Facility | None | $426.58 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $954.99 | Professional | None | $316.23 | $562.34 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $1,047.13 | Facility | None | $371.54 | $616.60 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $870.96 | Professional | None | $316.23 | $549.54 | $870.96 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $2,630.27 | Facility | None | $323.59 | $645.65 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,905.46 | Professional | None | $269.15 | $537.03 | $1,905.46 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $213.80 Median $389.05 Typical High $812.83 | Professional | None | $213.80 | $389.05 | $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 $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $93.33 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $37.15 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $18.62 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $93.33 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $37.15 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $23.44 Typical High $25.70 | Professional | 56 · Pre-op care only | $18.62 | $23.44 | $25.70 |
Where Minnesota sits
The same service costs 4.3 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
$490
AK $912KY $214
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.