How much rates vary
Facilitymedian $631 · 10th to 90th $166 to $3,020Professionalmedian $447 · 10th to 90th $219 to $871
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 $165.96 Median $263.03 Typical High $263.03 | Facility | None | $165.96 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $123.03 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $24.55 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $186.21 Typical High $186.21 | Facility | 78 · Unplanned return to OR | $114.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $263.03 | Professional | None | $165.96 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $123.03 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $24.55 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $177.83 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $114.82 | $177.83 | $186.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $2,630.27 Typical High $6,165.95 | Facility | None | $389.05 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,235.94 Median $6,025.60 Typical High $10,715.19 | Facility | 50 · Both sides | $3,235.94 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $794.33 | Professional | None | $257.04 | $467.74 | $794.33 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $691.83 Typical High $1,202.26 | Professional | 50 · Both sides | $389.05 | $691.83 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $371.54 Typical High $630.96 | Professional | 54 · Surgery only | $204.17 | $371.54 | $630.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $100.00 Typical High $158.49 | Professional | 55 · Aftercare only | $56.23 | $100.00 | $158.49 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $389.05 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $213.80 | $389.05 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $1,288.25 | Facility | None | $436.52 | $676.08 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $912.01 | Professional | None | $275.42 | $537.03 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,071.52 | Facility | None | $380.19 | $616.60 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $891.25 | Professional | None | $269.15 | $489.78 | $891.25 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,023.29 Typical High $3,090.30 | Facility | None | $288.40 | $1,023.29 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $1,905.46 | Professional | None | $281.84 | $588.84 | $1,905.46 |
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 $186.21 Median $389.05 Typical High $831.76 | Professional | None | $186.21 | $389.05 | $831.76 |
6 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 $83.18 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $83.18 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $33.11 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $16.60 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $83.18 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $33.11 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $16.60 | $25.12 | $26.30 |
Where Minnesota sits
The same service costs 3.7 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· 4th of 51
$457
AK $692UT $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.