How much rates vary
Facilitymedian $3,236 · 10th to 90th $851 to $12,023Professionalmedian $1,778 · 10th to 90th $851 to $3,311
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $891.25 | Professional | None | $851.14 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $12,302.69 Typical High $26,915.35 | Facility | None | $4,677.35 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,479.11 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,096.48 | $1,479.11 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $371.54 Typical High $602.56 | Professional | 55 · Aftercare only | $269.15 | $371.54 | $602.56 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,548.82 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,548.82 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,412.54 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,348.96 | $2,290.87 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,995.26 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,202.26 | $2,089.30 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $6,309.57 | Professional | None | $912.01 | $1,698.24 | $6,309.57 |
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 $870.96 Median $1,513.56 Typical High $3,162.28 | Professional | None | $870.96 | $1,513.56 | $3,162.28 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $87.10 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,754.23 Typical High $4,570.88 | Professional | 50 · Both sides | $2,041.74 | $2,754.23 | $4,570.88 |
Where Minnesota sits
The same service costs 8.1 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
$1,862
AK $3,548TX $437
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.