How much rates vary
Facilitymedian $1,202 · 10th to 90th $331 to $6,607Professionalmedian $832 · 10th to 90th $417 to $1,549
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 $331.13 Median $457.09 Typical High $457.09 | Facility | None | $331.13 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $251.19 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $50.12 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $234.42 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $457.09 | Professional | None | $331.13 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $331.13 Typical High $338.84 | Professional | 54 · Surgery only | $251.19 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $66.07 Typical High $69.18 | Professional | 55 · Aftercare only | $50.12 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $309.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $234.42 | $309.03 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,737.80 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,412.54 | Professional | None | $501.19 | $870.96 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $691.83 Typical High $1,122.02 | Professional | 54 · Surgery only | $398.11 | $691.83 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $181.97 Typical High $281.84 | Professional | 55 · Aftercare only | $112.20 | $181.97 | $281.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $724.44 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $416.87 | $724.44 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,238.72 | Facility | None | $741.31 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,659.59 | Professional | None | $549.54 | $1,000.00 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,862.09 | Facility | None | $660.69 | $1,096.48 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $549.54 Median $954.99 Typical High $1,513.56 | Professional | None | $549.54 | $954.99 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $2,884.03 Typical High $7,943.28 | Facility | None | $562.34 | $2,884.03 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $977.24 Typical High $3,388.44 | Professional | None | $489.78 | $977.24 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $1,348.96 | Professional | None | $363.08 | $707.95 | $1,348.96 |
8 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 $165.96 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $165.96 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $66.07 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $33.11 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $218.78 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $87.10 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $43.65 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $43.65 | $45.71 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $11,481.54 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $11,481.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,288.25 Typical High $2,089.30 | Professional | 50 · Both sides | $758.58 | $1,288.25 | $2,089.30 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska than in Utah. 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
$851
AK $1,622UT $324
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.