How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $15,136Professionalmedian $2,188 · 10th to 90th $1,047 to $4,074
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | None | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | 54 · Surgery only | $776.25 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,165.95 Median $22,387.21 Typical High $48,977.88 | Facility | None | $6,165.95 | $22,387.21 | $48,977.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,238.72 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,778.28 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,318.26 | $1,778.28 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | 55 · Aftercare only | $331.13 | $446.68 | $724.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,905.46 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,698.24 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,754.23 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,570.40 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,778.28 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,089.30 | $7,762.47 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $3,890.45 | Professional | None | $1,071.52 | $1,862.09 | $3,890.45 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $109.65 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $25,703.96 Median $47,863.01 Typical High $85,113.80 | Facility | 50 · Both sides | $25,703.96 | $47,863.01 | $85,113.80 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,511.89 Median $3,388.44 Typical High $5,623.41 | Professional | 50 · Both sides | $2,511.89 | $3,388.44 | $5,623.41 |
Where Minnesota sits
The same service costs 7.9 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
$2,291
AK $4,365TX $550
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.