How much rates vary
Facilitymedian $2,455 · 10th to 90th $661 to $8,511Professionalmedian $1,445 · 10th to 90th $661 to $2,630
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 78 · Unplanned return to OR | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Professional | None | $660.69 | $660.69 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | 54 · Surgery only | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $5,754.40 Typical High $11,220.18 | Facility | None | $3,801.89 | $5,754.40 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,548.82 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,230.27 Typical High $1,905.46 | Professional | 54 · Surgery only | $912.01 | $1,230.27 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $309.03 Typical High $478.63 | Professional | 55 · Aftercare only | $223.87 | $309.03 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,288.25 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $954.99 | $1,288.25 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,778.28 | $2,818.38 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,691.53 | Facility | None | $977.24 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,630.27 | Professional | None | $933.25 | $1,621.81 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,148.15 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $7,943.28 | Professional | None | $794.33 | $1,445.44 | $7,943.28 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,630.27 | Professional | None | $724.44 | $1,288.25 | $2,630.27 |
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 $331.13 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 52 · Reduced service | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 53 · Discontinued | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $72.44 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,498.45 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,290.87 Typical High $3,630.78 | Professional | 50 · Both sides | $1,698.24 | $2,290.87 | $3,630.78 |
Where Minnesota sits
The same service costs 7.2 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
$1,514
AK $2,884TX $398
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.