How much rates vary
Facilitymedian $2,818 · 10th to 90th $912 to $12,882Professionalmedian $1,905 · 10th to 90th $912 to $3,467
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | None | $912.01 | $912.01 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $707.95 | Professional | 54 · Surgery only | $676.08 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,248.07 Median $21,379.62 Typical High $48,977.88 | Facility | None | $5,248.07 | $21,379.62 | $48,977.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,445.44 | $1,949.84 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,584.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,148.15 | $1,584.89 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $389.05 Typical High $630.96 | Professional | 55 · Aftercare only | $288.40 | $389.05 | $630.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,659.59 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,659.59 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $4,466.84 | Facility | None | $1,479.11 | $2,290.87 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,398.83 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,715.35 | Facility | None | $1,318.26 | $2,137.96 | $3,715.35 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,258.93 | $2,238.72 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,584.89 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $7,244.36 | Professional | None | $977.24 | $1,819.70 | $7,244.36 |
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 $933.25 Median $1,621.81 Typical High $3,311.31 | Professional | None | $933.25 | $1,621.81 | $3,311.31 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | 52 · Reduced service | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 53 · Discontinued | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $93.33 |
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 $2,187.76 Median $2,951.21 Typical High $4,897.79 | Professional | 50 · Both sides | $2,187.76 | $2,951.21 | $4,897.79 |
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
$1,995
AK $3,715TX $468
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.