How much rates vary
Facilitymedian $347 · 10th to 90th $107 to $1,288Professionalmedian $200 · 10th to 90th $100 to $363
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 $81.28 Median $354.81 Typical High $1,288.25 | Facility | None | $81.28 | $354.81 | $1,288.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $60.26 Median $79.43 Typical High $79.43 | Facility | 54 · Surgery only | $60.26 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.02 Median $16.22 Typical High $16.22 | Facility | 55 · Aftercare only | $12.02 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $74.13 Typical High $74.13 | Facility | 78 · Unplanned return to OR | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $134.90 | Professional | None | $81.28 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $77.62 Typical High $79.43 | Professional | 54 · Surgery only | $60.26 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $12.02 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $72.44 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $56.23 | $72.44 | $74.13 |
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 Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $323.59 | Professional | None | $120.23 | $204.17 | $323.59 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $162.18 Typical High $257.04 | Professional | 54 · Surgery only | $97.72 | $162.18 | $257.04 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $64.57 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $64.57 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $169.82 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $102.33 | $169.82 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $524.81 | Facility | None | $173.78 | $275.42 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $389.05 | Professional | None | $131.83 | $239.88 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $436.52 | Facility | None | $154.88 | $257.04 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $363.08 | Professional | None | $131.83 | $234.42 | $363.08 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $1,000.00 | Facility | None | $125.89 | $281.84 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $1,023.29 | Professional | None | $114.82 | $245.47 | $1,023.29 |
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 $89.13 Median $173.78 Typical High $331.13 | Professional | None | $89.13 | $173.78 | $331.13 |
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 $40.74 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $40.74 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $16.22 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.72 Typical High $10.72 | Facility | 56 · Pre-op care only | $8.13 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $40.74 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $16.22 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.13 | $10.47 | $10.72 |
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 $181.97 Median $302.00 Typical High $489.78 | Professional | 50 · Both sides | $181.97 | $302.00 | $489.78 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$209
AK $324FL $83.18
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.