How much rates vary
Facilitymedian $525 · 10th to 90th $257 to $1,585Professionalmedian $832 · 10th to 90th $407 to $1,445
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 $257.04 Median $407.38 Typical High $524.81 | Facility | None | $257.04 | $407.38 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $275.42 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $54.95 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $281.84 Typical High $281.84 | Facility | 78 · Unplanned return to OR | $257.04 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $537.03 | Professional | None | $371.54 | $407.38 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $295.12 Typical High $302.00 | Professional | 54 · Surgery only | $275.42 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
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 None Typical Low $616.60 Median $912.01 Typical High $1,288.25 | Professional | None | $616.60 | $912.01 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,380.38 Typical High $1,949.84 | Professional | 50 · Both sides | $912.01 | $1,380.38 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $724.44 Typical High $1,047.13 | Professional | 54 · Surgery only | $489.78 | $724.44 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $186.21 Typical High $257.04 | Professional | 55 · Aftercare only | $123.03 | $186.21 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $758.58 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $512.86 | $758.58 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,621.81 | Professional | None | $575.44 | $1,023.29 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,659.59 | Facility | None | $588.84 | $977.24 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $1,479.11 | Professional | None | $501.19 | $933.25 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $549.54 Typical High $1,230.27 | Facility | None | $131.83 | $549.54 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $2,951.21 | Professional | None | $416.87 | $891.25 | $2,951.21 |
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 $1,348.96 | Professional | None | $363.08 | $660.69 | $1,348.96 |
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 $186.21 Median $204.17 Typical High $204.17 | Facility | 52 · Reduced service | $186.21 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $74.13 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $37.15 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $40.74 |
Where Minnesota sits
The same service costs 5.1 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
$813
AK $1,479UT $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.