How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $7,762Professionalmedian $1,820 · 10th to 90th $871 to $3,236
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $891.25 | Professional | None | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $13,182.57 | Facility | None | $4,265.80 | $6,760.83 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,905.46 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,513.56 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,122.02 | $1,513.56 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $389.05 Typical High $588.84 | Professional | 55 · Aftercare only | $288.40 | $389.05 | $588.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,584.89 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,584.89 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,412.54 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,290.87 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,202.26 | $2,137.96 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,513.56 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $6,456.54 | Professional | None | $870.96 | $1,621.81 | $6,456.54 |
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 $851.14 Median $1,445.44 Typical High $3,019.95 | Professional | None | $851.14 | $1,445.44 | $3,019.95 |
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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
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 $2,089.30 Median $2,884.03 Typical High $4,466.84 | Professional | 50 · Both sides | $2,089.30 | $2,884.03 | $4,466.84 |
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· 5th of 51
$1,905
AK $3,548TX $447
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.