How much rates vary
Facilitymedian $1,288 · 10th to 90th $324 to $3,548Professionalmedian $1,445 · 10th to 90th $692 to $2,630
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Professional | None | $691.83 | $691.83 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,548.82 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,513.56 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,202.26 Typical High $1,905.46 | Professional | 54 · Surgery only | $891.25 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $302.00 Typical High $478.63 | Professional | 55 · Aftercare only | $223.87 | $302.00 | $478.63 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,258.93 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $933.25 | $1,258.93 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,862.09 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $2,754.23 | Professional | None | $977.24 | $1,698.24 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $575.44 Typical High $2,089.30 | Facility | None | $125.89 | $575.44 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,318.26 Typical High $5,128.61 | Professional | None | $724.44 | $1,318.26 | $5,128.61 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $2,570.40 | Facility | None | $125.89 | $426.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $2,511.89 | Professional | None | $691.83 | $1,202.26 | $2,511.89 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 53 · Discontinued | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $70.79 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,238.72 Typical High $3,548.13 | Professional | 50 · Both sides | $1,659.59 | $2,238.72 | $3,548.13 |
Where Minnesota sits
The same service costs 8.5 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
$1,445
AK $2,818TX $331
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.