How much rates vary
Facilitymedian $977 · 10th to 90th $417 to $4,365Professionalmedian $871 · 10th to 90th $417 to $1,585
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | None | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $5,495.41 Typical High $12,302.69 | Facility | None | $1,548.82 | $5,495.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,445.44 | Professional | None | $676.08 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $724.44 Typical High $1,148.15 | Professional | 54 · Surgery only | $549.54 | $724.44 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $186.21 Typical High $288.40 | Professional | 55 · Aftercare only | $138.04 | $186.21 | $288.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $758.58 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $575.44 | $758.58 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $1,778.28 | Professional | None | $660.69 | $1,122.02 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,659.59 | Professional | None | $588.84 | $1,047.13 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $2,951.21 | Facility | None | $501.19 | $794.33 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $3,090.30 | Professional | None | $416.87 | $776.25 | $3,090.30 |
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 $407.38 Median $707.95 Typical High $1,479.11 | Professional | None | $407.38 | $707.95 | $1,479.11 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
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 $1,023.29 Median $1,348.96 Typical High $2,137.96 | Professional | 50 · Both sides | $1,023.29 | $1,348.96 | $2,137.96 |
Where Minnesota sits
The same service costs 8.1 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· 5th of 51
$891
AK $1,698TX $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.