How much rates vary
Facilitymedian $1,202 · 10th to 90th $309 to $4,786Professionalmedian $794 · 10th to 90th $398 to $1,549
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 $309.03 Median $457.09 Typical High $457.09 | Facility | None | $309.03 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $234.42 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $46.77 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $218.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $457.09 | Professional | None | $309.03 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $331.13 Typical High $338.84 | Professional | 54 · Surgery only | $234.42 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $66.07 Typical High $67.61 | Professional | 55 · Aftercare only | $46.77 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $309.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $218.78 | $309.03 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $11,748.98 | Facility | None | $2,137.96 | $5,128.61 | $11,748.98 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,380.38 | Professional | None | $489.78 | $831.76 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,230.27 Typical High $2,089.30 | Professional | 50 · Both sides | $741.31 | $1,230.27 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $660.69 Typical High $1,096.48 | Professional | 54 · Surgery only | $398.11 | $660.69 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $169.82 Typical High $269.15 | Professional | 55 · Aftercare only | $107.15 | $169.82 | $269.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $691.83 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $416.87 | $691.83 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,238.72 | Facility | None | $741.31 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $977.24 Typical High $1,584.89 | Professional | None | $524.81 | $977.24 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,513.56 | Professional | None | $512.86 | $891.25 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $3,890.45 | Facility | None | $524.81 | $1,621.81 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,047.13 Typical High $3,388.44 | Professional | None | $512.86 | $1,047.13 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $691.83 Typical High $1,445.44 | Professional | None | $354.81 | $691.83 | $1,445.44 |
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 $154.88 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $154.88 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $61.66 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $30.90 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $218.78 Typical High $229.09 | Professional | 52 · Reduced service | $154.88 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $91.20 | Professional | 53 · Discontinued | $61.66 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $43.65 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.90 | $43.65 | $45.71 |
Where Minnesota sits
The same service costs 4.5 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· 4th of 51
$832
AK $1,259TX $282
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.