How much rates vary
Facilitymedian $631 · 10th to 90th $324 to $1,698Professionalmedian $871 · 10th to 90th $417 to $1,514
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 $380.19 Median $416.87 Typical High $416.87 | Facility | None | $380.19 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $288.40 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $57.54 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $416.87 | Professional | None | $380.19 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $302.00 Typical High $316.23 | Professional | 54 · Surgery only | $288.40 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $57.54 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $269.15 | $281.84 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,187.76 | Facility | None | $323.59 | $870.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $1,348.96 | Professional | None | $616.60 | $933.25 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $758.58 Typical High $1,071.52 | Professional | 54 · Surgery only | $501.19 | $758.58 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $190.55 Typical High $269.15 | Professional | 55 · Aftercare only | $125.89 | $190.55 | $269.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $794.33 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $524.81 | $794.33 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,659.59 | Professional | None | $588.84 | $1,047.13 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,698.24 | Facility | None | $616.60 | $1,000.00 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $1,548.82 | Professional | None | $512.86 | $977.24 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $562.34 Typical High $1,445.44 | Facility | None | $131.83 | $562.34 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $3,019.95 | Professional | None | $416.87 | $891.25 | $3,019.95 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,412.54 | Professional | None | $363.08 | $660.69 | $1,412.54 |
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 $190.55 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $190.55 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $75.86 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $190.55 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $75.86 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $41.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,412.54 Typical High $2,041.74 | Professional | 50 · Both sides | $933.25 | $1,412.54 | $2,041.74 |
Where Minnesota sits
The same service costs 5.2 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· 3rd of 51
$851
AK $1,514TX $288
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.