How much rates vary
Facilitymedian $977 · 10th to 90th $240 to $6,166Professionalmedian $646 · 10th to 90th $331 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 $239.88 Median $371.54 Typical High $371.54 | Facility | None | $239.88 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $181.97 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $36.31 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $169.82 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $371.54 | Professional | None | $239.88 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $269.15 Typical High $281.84 | Professional | 54 · Surgery only | $181.97 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $36.31 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $251.19 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $169.82 | $251.19 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $14,454.40 | Facility | None | $4,265.80 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $1,096.48 | Professional | None | $380.19 | $660.69 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $524.81 Typical High $870.96 | Professional | 54 · Surgery only | $309.03 | $524.81 | $870.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $138.04 Typical High $223.87 | Professional | 55 · Aftercare only | $81.28 | $138.04 | $223.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $549.54 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $323.59 | $549.54 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,819.70 | Facility | None | $616.60 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $776.25 Typical High $1,318.26 | Professional | None | $407.38 | $776.25 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,548.82 | Facility | None | $549.54 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $691.83 Typical High $1,258.93 | Professional | None | $398.11 | $691.83 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,659.59 Typical High $4,786.30 | Facility | None | $436.52 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $2,754.23 | Professional | None | $426.58 | $851.14 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $1,202.26 | Professional | None | $281.84 | $588.84 | $1,202.26 |
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 $120.23 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $120.23 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $47.86 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $23.99 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $120.23 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $47.86 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $36.31 Typical High $37.15 | Professional | 56 · Pre-op care only | $23.99 | $36.31 | $37.15 |
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 $575.44 Median $1,000.00 Typical High $1,659.59 | Professional | 50 · Both sides | $575.44 | $1,000.00 | $1,659.59 |
Where Minnesota sits
The same service costs 5.5 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· 5th of 51
$661
AK $1,202TX $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.