How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,514 to $8,318Professionalmedian $3,162 · 10th to 90th $1,514 to $5,888
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,513.56 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $12,589.25 | Facility | None | $2,137.96 | $5,888.44 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,235.94 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,905.46 | $2,570.40 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $645.65 Typical High $1,047.13 | Professional | 55 · Aftercare only | $478.63 | $645.65 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,691.53 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,413.10 | Facility | None | $2,454.71 | $3,801.89 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $6,309.57 | Professional | None | $2,344.23 | $3,981.07 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,548.13 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,089.30 | $3,715.35 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,995.26 | $2,818.38 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,019.95 Typical High $11,220.18 | Professional | None | $1,659.59 | $3,019.95 | $11,220.18 |
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 $1,584.89 Median $2,754.23 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,754.23 | $5,623.41 |
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 $794.33 | Professional | 52 · Reduced service | $758.58 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $158.49 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,964.78 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,548.13 Median $4,786.30 Typical High $7,943.28 | Professional | 50 · Both sides | $3,548.13 | $4,786.30 | $7,943.28 |
Where Minnesota sits
The same service costs 16.2 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
$3,162
AK $6,310TX $389
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.