How much rates vary
Facilitymedian $617 · 10th to 90th $324 to $1,514Professionalmedian $724 · 10th to 90th $355 to $1,259
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 $323.59 Median $354.81 Typical High $1,380.38 | Facility | None | $323.59 | $354.81 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $263.03 Typical High $263.03 | Facility | 54 · Surgery only | $245.47 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $48.98 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $245.47 Typical High $245.47 | Facility | 78 · Unplanned return to OR | $229.09 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $389.05 | Professional | None | $323.59 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $257.04 Typical High $263.03 | Professional | 54 · Surgery only | $245.47 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $48.98 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $239.88 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $229.09 | $239.88 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,122.02 | Professional | None | $537.03 | $794.33 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,174.90 Typical High $1,698.24 | Professional | 50 · Both sides | $812.83 | $1,174.90 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $630.96 Typical High $891.25 | Professional | 54 · Surgery only | $436.52 | $630.96 | $891.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | 55 · Aftercare only | $109.65 | $158.49 | $223.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $660.69 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $457.09 | $660.69 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,737.80 | Facility | None | $575.44 | $891.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,445.44 | Professional | None | $512.86 | $912.01 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,445.44 | Facility | None | $512.86 | $851.14 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $1,318.26 | Professional | None | $436.52 | $831.76 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $501.19 Typical High $1,445.44 | Facility | None | $128.82 | $501.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $776.25 Typical High $2,570.40 | Professional | None | $363.08 | $776.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $1,202.26 | Professional | None | $323.59 | $588.84 | $1,202.26 |
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 $162.18 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $162.18 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $70.79 | Facility | 53 · Discontinued | $64.57 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $35.48 | Facility | 56 · Pre-op care only | $32.36 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | 56 · Pre-op care only | $32.36 | $33.88 | $35.48 |
Where Minnesota sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 3rd of 51
$724
AK $1,288UT $219
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.