How much rates vary
Facilitymedian $955 · 10th to 90th $372 to $3,162Professionalmedian $933 · 10th to 90th $468 to $1,778
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 $371.54 Median $524.81 Typical High $524.81 | Facility | None | $371.54 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $281.84 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $56.23 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $263.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $537.03 | Professional | None | $371.54 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $380.19 Typical High $398.11 | Professional | 54 · Surgery only | $281.84 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $56.23 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $363.08 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $263.03 | $363.08 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $2,630.27 Typical High $6,165.95 | Facility | None | $870.96 | $2,630.27 | $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 $575.44 Median $977.24 Typical High $1,621.81 | Professional | None | $575.44 | $977.24 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,479.11 Typical High $2,398.83 | Professional | 50 · Both sides | $870.96 | $1,479.11 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $776.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $467.74 | $776.25 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $199.53 Typical High $323.59 | Professional | 55 · Aftercare only | $125.89 | $199.53 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $812.83 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $489.78 | $812.83 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Facility | None | $870.96 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,174.90 Typical High $1,862.09 | Professional | None | $616.60 | $1,174.90 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,187.76 | Facility | None | $776.25 | $1,258.93 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,778.28 | Professional | None | $616.60 | $1,071.52 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $2,884.03 | Facility | None | $524.81 | $794.33 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,258.93 Typical High $3,890.45 | Professional | None | $602.56 | $1,258.93 | $3,890.45 |
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 $436.52 Median $831.76 Typical High $1,698.24 | Professional | None | $436.52 | $831.76 | $1,698.24 |
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 $186.21 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $186.21 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $74.13 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $37.15 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $186.21 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $74.13 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $37.15 | $51.29 | $52.48 |
Where Minnesota sits
The same service costs 4.8 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· 5th of 51
$933
AK $1,549UT $324
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.