How much rates vary
Facilitymedian $550 · 10th to 90th $302 to $1,549Professionalmedian $676 · 10th to 90th $324 to $1,175
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 $302.00 Median $323.59 Typical High $323.59 | Facility | None | $302.00 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $223.87 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $44.67 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $229.09 Typical High $229.09 | Facility | 78 · Unplanned return to OR | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $331.13 | Professional | None | $302.00 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $245.47 | Professional | 54 · Surgery only | $223.87 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | 55 · Aftercare only | $44.67 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $218.78 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $208.93 | $218.78 | $229.09 |
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 $489.78 Median $724.44 Typical High $1,047.13 | Professional | None | $489.78 | $724.44 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,096.48 Typical High $1,584.89 | Professional | 50 · Both sides | $741.31 | $1,096.48 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $588.84 Typical High $831.76 | Professional | 54 · Surgery only | $398.11 | $588.84 | $831.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $147.91 Typical High $208.93 | Professional | 55 · Aftercare only | $97.72 | $147.91 | $208.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $616.60 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $416.87 | $616.60 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,318.26 | Professional | None | $467.74 | $831.76 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $1,318.26 | Facility | None | $467.74 | $776.25 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $1,202.26 | Professional | None | $398.11 | $758.58 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $501.19 Typical High $1,148.15 | Facility | None | $125.89 | $501.19 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $707.95 Typical High $2,344.23 | Professional | None | $331.13 | $707.95 | $2,344.23 |
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 $295.12 Median $537.03 Typical High $1,096.48 | Professional | None | $295.12 | $537.03 | $1,096.48 |
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 $151.36 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $151.36 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $60.26 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $151.36 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $32.36 | Professional | 56 · Pre-op care only | $30.20 | $31.62 | $32.36 |
Where Minnesota sits
The same service costs 5.8 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
$661
AK $1,202TX $209
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.