How much rates vary
Facilitymedian $525 · 10th to 90th $275 to $1,514Professionalmedian $631 · 10th to 90th $302 to $1,096
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 $275.42 Median $309.03 Typical High $309.03 | Facility | None | $275.42 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $208.93 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $41.69 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | None | $269.15 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $223.87 Typical High $234.42 | Professional | 54 · Surgery only | $208.93 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $44.67 Typical High $46.77 | Professional | 55 · Aftercare only | $41.69 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $208.93 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $194.98 | $208.93 | $218.78 |
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 $467.74 Median $691.83 Typical High $977.24 | Professional | None | $467.74 | $691.83 | $977.24 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $1,023.29 Typical High $1,479.11 | Professional | 50 · Both sides | $691.83 | $1,023.29 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $549.54 Typical High $776.25 | Professional | 54 · Surgery only | $371.54 | $549.54 | $776.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $138.04 Typical High $194.98 | Professional | 55 · Aftercare only | $93.33 | $138.04 | $194.98 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $575.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $389.05 | $575.44 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,513.56 | Facility | None | $512.86 | $794.33 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,230.27 | Professional | None | $426.58 | $776.25 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,258.93 | Facility | None | $446.68 | $741.31 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $1,096.48 | Professional | None | $380.19 | $724.44 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $467.74 Typical High $1,148.15 | Facility | None | $128.82 | $467.74 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $676.08 Typical High $2,238.72 | Professional | None | $302.00 | $676.08 | $2,238.72 |
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 $263.03 Median $489.78 Typical High $1,023.29 | Professional | None | $263.03 | $489.78 | $1,023.29 |
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 $138.04 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $27.54 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $30.90 |
Where Minnesota sits
The same service costs 5.4 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· 3rd of 51
$631
AK $1,096TX $204
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.