How much rates vary
Facilitymedian $1,995 · 10th to 90th $603 to $6,918Professionalmedian $1,259 · 10th to 90th $603 to $2,344
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | None | $602.56 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,235.94 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,089.30 | Professional | None | $977.24 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,047.13 Typical High $1,659.59 | Professional | 54 · Surgery only | $776.25 | $1,047.13 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | 55 · Aftercare only | $194.98 | $263.03 | $416.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,122.02 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $812.83 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,511.89 | Professional | None | $954.99 | $1,621.81 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,454.71 | Facility | None | $891.25 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,398.83 | Professional | None | $851.14 | $1,479.11 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,148.15 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $5,248.07 | Professional | None | $645.65 | $1,174.90 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $2,187.76 | Professional | None | $602.56 | $1,047.13 | $2,187.76 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | 50 · Both sides | $1,479.11 | $1,995.26 | $3,235.94 |
Where Minnesota sits
The same service costs 7.4 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· 7th of 51
$1,318
AK $2,455TX $331
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.