How much rates vary
Facilitymedian $2,138 · 10th to 90th $759 to $10,000Professionalmedian $1,622 · 10th to 90th $759 to $2,951
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Professional | None | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 54 · Surgery only | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $11,748.98 Typical High $26,915.35 | Facility | None | $4,168.69 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,659.59 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,318.26 Typical High $2,089.30 | Professional | 54 · Surgery only | $977.24 | $1,318.26 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $331.13 Typical High $524.81 | Professional | 55 · Aftercare only | $245.47 | $331.13 | $524.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,380.38 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,380.38 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,235.94 | Professional | None | $1,202.26 | $2,041.74 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,122.02 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,905.46 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,348.96 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,513.56 Typical High $6,606.93 | Professional | None | $831.76 | $1,513.56 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $2,818.38 | Professional | None | $776.25 | $1,348.96 | $2,818.38 |
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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $79.43 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,511.89 Typical High $4,073.80 | Professional | 50 · Both sides | $1,819.70 | $2,511.89 | $4,073.80 |
Where Minnesota sits
The same service costs 7.6 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
$1,660
AK $3,162TX $417
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.