How much rates vary
Facilitymedian $646 · 10th to 90th $178 to $2,884Professionalmedian $468 · 10th to 90th $234 to $933
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 $177.83 Median $275.42 Typical High $275.42 | Facility | None | $177.83 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $131.83 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $131.83 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.30 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $26.30 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $194.98 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $123.03 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $275.42 | Professional | None | $177.83 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $208.93 | Professional | 54 · Surgery only | $131.83 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $39.81 Typical High $41.69 | Professional | 55 · Aftercare only | $26.30 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $186.21 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $123.03 | $186.21 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $6,165.95 | Facility | None | $1,445.44 | $2,818.38 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,235.94 Median $6,025.60 Typical High $10,715.19 | Facility | 50 · Both sides | $3,235.94 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $851.14 | Professional | None | $275.42 | $501.19 | $851.14 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $758.58 Typical High $1,258.93 | Professional | 50 · Both sides | $416.87 | $758.58 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $398.11 Typical High $660.69 | Professional | 54 · Surgery only | $218.78 | $398.11 | $660.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $104.71 Typical High $169.82 | Professional | 55 · Aftercare only | $60.26 | $104.71 | $169.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $416.87 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $234.42 | $416.87 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $1,348.96 | Facility | None | $457.09 | $707.95 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $977.24 | Professional | None | $295.12 | $575.44 | $977.24 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $1,148.15 | Facility | None | $407.38 | $660.69 | $1,148.15 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $933.25 | Professional | None | $295.12 | $524.81 | $933.25 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $691.83 Typical High $2,884.03 | Facility | None | $309.03 | $691.83 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $630.96 Typical High $2,041.74 | Professional | None | $295.12 | $630.96 | $2,041.74 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $870.96 | Professional | None | $204.17 | $407.38 | $870.96 |
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 $89.13 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $89.13 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $54.95 | Facility | 53 · Discontinued | $35.48 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $27.54 Typical High $27.54 | Facility | 56 · Pre-op care only | $17.78 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $26.92 Typical High $27.54 | Professional | 56 · Pre-op care only | $17.78 | $26.92 | $27.54 |
Where Minnesota sits
The same service costs 4.1 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
$490
AK $851TX $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.