How much rates vary
Facilitymedian $617 · 10th to 90th $135 to $1,862Professionalmedian $398 · 10th to 90th $182 to $813
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 $134.90 Median $245.47 Typical High $616.60 | Facility | None | $134.90 | $245.47 | $616.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $181.97 Typical High $181.97 | Facility | 54 · Surgery only | $100.00 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $20.42 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $169.82 Typical High $169.82 | Facility | 78 · Unplanned return to OR | $93.33 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $263.03 | Professional | None | $134.90 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $173.78 Typical High $181.97 | Professional | 54 · Surgery only | $100.00 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $35.48 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $162.18 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $93.33 | $162.18 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $1,148.15 Typical High $2,691.53 | Facility | None | $316.23 | $1,148.15 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,412.54 Median $2,630.27 Typical High $4,677.35 | Facility | 50 · Both sides | $1,412.54 | $2,630.27 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $707.95 | Professional | None | $218.78 | $407.38 | $707.95 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $616.60 Typical High $1,047.13 | Professional | 50 · Both sides | $331.13 | $616.60 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $323.59 Typical High $562.34 | Professional | 54 · Surgery only | $173.78 | $323.59 | $562.34 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $83.18 Typical High $141.25 | Professional | 55 · Aftercare only | $46.77 | $83.18 | $141.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $338.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $181.97 | $338.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $851.14 | Professional | None | $239.88 | $446.68 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $812.83 | Professional | None | $223.87 | $407.38 | $812.83 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $645.65 Typical High $2,570.40 | Facility | None | $234.42 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $588.84 Typical High $1,862.09 | Professional | None | $288.40 | $588.84 | $1,862.09 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $794.33 | Professional | None | $158.49 | $346.74 | $794.33 |
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 $67.61 Median $120.23 Typical High $120.23 | Facility | 52 · Reduced service | $67.61 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $26.92 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $13.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $67.61 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $26.92 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $23.44 Typical High $24.55 | Professional | 56 · Pre-op care only | $13.49 | $23.44 | $24.55 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$407
AK $617KY $170
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.