How much rates vary
Facilitymedian $2,692 · 10th to 90th $759 to $10,233Professionalmedian $1,585 · 10th to 90th $759 to $2,951
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | None | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 54 · Surgery only | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,265.80 | $10,232.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,621.81 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Professional | 54 · Surgery only | $954.99 | $1,288.25 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $323.59 Typical High $524.81 | Professional | 55 · Aftercare only | $239.88 | $323.59 | $524.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,348.96 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,348.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,162.28 | Professional | None | $1,202.26 | $2,041.74 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,096.48 | $1,778.28 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,862.09 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,388.44 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $8,317.64 | Professional | None | $812.83 | $1,513.56 | $8,317.64 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,818.38 | Professional | None | $776.25 | $1,318.26 | $2,818.38 |
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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $77.62 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $11,748.98 Median $21,379.62 Typical High $38,904.51 | Facility | 50 · Both sides | $11,748.98 | $21,379.62 | $38,904.51 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,398.83 Typical High $3,981.07 | Professional | 50 · Both sides | $1,778.28 | $2,398.83 | $3,981.07 |
Where Minnesota sits
The same service costs 16.6 times more in Alaska than in Texas. 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· 6th of 51
$1,660
AK $3,090TX $186
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.