How much rates vary
Facilitymedian $676 · 10th to 90th $251 to $3,311Professionalmedian $562 · 10th to 90th $257 to $955
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 $251.19 Median $257.04 Typical High $257.04 | Facility | None | $251.19 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 78 · Unplanned return to OR | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | None | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 54 · Surgery only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $177.83 | $177.83 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,445.44 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $851.14 | Professional | None | $416.87 | $575.44 | $851.14 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $457.09 Typical High $691.83 | Professional | 54 · Surgery only | $338.84 | $457.09 | $691.83 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | 55 · Aftercare only | $83.18 | $114.82 | $173.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $478.63 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $354.81 | $478.63 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,230.27 | Facility | None | $416.87 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,071.52 | Professional | None | $398.11 | $676.08 | $1,071.52 |
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 $630.96 Typical High $1,000.00 | Professional | None | $316.23 | $630.96 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,148.15 Typical High $3,467.37 | Facility | None | $346.74 | $1,148.15 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $1,862.09 | Professional | None | $251.19 | $537.03 | $1,862.09 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $239.88 Median $426.58 Typical High $851.14 | Professional | None | $239.88 | $426.58 | $851.14 |
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 $125.89 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $125.89 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $25.12 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $25.70 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $870.96 Typical High $1,318.26 | Professional | 50 · Both sides | $630.96 | $870.96 | $1,318.26 |
Where Minnesota sits
The same service costs 5.4 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· 3rd of 51
$562
AK $1,023UT $191
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.