How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,259 to $8,913Professionalmedian $3,162 · 10th to 90th $1,514 to $5,754
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,513.56 | $1,513.56 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $9,120.11 Typical High $16,218.10 | Facility | None | $4,365.16 | $9,120.11 | $16,218.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $5,248.07 | Professional | None | $2,454.71 | $3,235.94 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,630.27 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,949.84 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $660.69 Typical High $1,047.13 | Professional | 55 · Aftercare only | $489.78 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,754.23 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,754.23 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $7,413.10 | Facility | None | $2,511.89 | $3,890.45 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $4,073.80 Typical High $6,456.54 | Professional | None | $2,398.83 | $4,073.80 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,309.57 | Facility | None | $2,238.72 | $3,548.13 | $6,309.57 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,137.96 | $3,715.35 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $4,073.80 | Facility | None | $794.33 | $1,819.70 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,951.21 Typical High $11,481.54 | Professional | None | $1,621.81 | $2,951.21 | $11,481.54 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $5,495.41 | Professional | None | $1,479.11 | $2,691.53 | $5,495.41 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 52 · Reduced service | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $154.88 |
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 $3,715.35 Median $4,897.79 Typical High $7,762.47 | Professional | 50 · Both sides | $3,715.35 | $4,897.79 | $7,762.47 |
Where Minnesota sits
The same service costs 15.8 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· 4th of 51
$3,162
AK $6,310TX $398
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.