How much rates vary
Facilitymedian $1,072 · 10th to 90th $316 to $3,802Professionalmedian $813 · 10th to 90th $407 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 $316.23 Median $467.74 Typical High $467.74 | Facility | None | $316.23 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $239.88 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $239.88 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $47.86 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $323.59 Typical High $323.59 | Facility | 78 · Unplanned return to OR | $223.87 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $489.78 | Professional | None | $316.23 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $338.84 Typical High $346.74 | Professional | 54 · Surgery only | $239.88 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $67.61 Typical High $69.18 | Professional | 55 · Aftercare only | $47.86 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $316.23 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $223.87 | $316.23 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $6,165.95 | Facility | None | $2,041.74 | $3,388.44 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,235.94 Median $6,025.60 Typical High $10,715.19 | Facility | 50 · Both sides | $3,235.94 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $501.19 Median $851.14 Typical High $1,412.54 | Professional | None | $501.19 | $851.14 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,258.93 Typical High $2,137.96 | Professional | 50 · Both sides | $758.58 | $1,258.93 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $676.08 Typical High $1,122.02 | Professional | 54 · Surgery only | $407.38 | $676.08 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $173.78 Typical High $281.84 | Professional | 55 · Aftercare only | $107.15 | $173.78 | $281.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $707.95 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $426.58 | $707.95 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,290.87 | Facility | None | $758.58 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,000.00 Typical High $1,659.59 | Professional | None | $524.81 | $1,000.00 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,548.82 | Professional | None | $524.81 | $912.01 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $3,467.37 | Facility | None | $549.54 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,122.02 Typical High $3,388.44 | Professional | None | $524.81 | $1,122.02 | $3,388.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $363.08 Median $724.44 Typical High $1,513.56 | Professional | None | $363.08 | $724.44 | $1,513.56 |
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 $158.49 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $158.49 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $63.10 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $31.62 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $158.49 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $63.10 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $44.67 Typical High $46.77 | Professional | 56 · Pre-op care only | $31.62 | $44.67 | $46.77 |
Where Minnesota sits
The same service costs 4.9 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· 4th of 51
$832
AK $1,413UT $288
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.