How much rates vary
Facilitymedian $1,148 · 10th to 90th $295 to $4,786Professionalmedian $759 · 10th to 90th $380 to $1,479
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 $295.12 Median $436.52 Typical High $436.52 | Facility | None | $295.12 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $218.78 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $218.78 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $66.07 Typical High $66.07 | Facility | 55 · Aftercare only | $43.65 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $309.03 Typical High $309.03 | Facility | 78 · Unplanned return to OR | $204.17 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $446.68 | Professional | None | $295.12 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $316.23 Typical High $331.13 | Professional | 54 · Surgery only | $218.78 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $64.57 Typical High $66.07 | Professional | 55 · Aftercare only | $43.65 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $204.17 | $295.12 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $11,481.54 | Facility | None | $2,137.96 | $4,897.79 | $11,481.54 |
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 $467.74 Median $794.33 Typical High $1,318.26 | Professional | None | $467.74 | $794.33 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,202.26 Typical High $1,995.26 | Professional | 50 · Both sides | $707.95 | $1,202.26 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $630.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $371.54 | $630.96 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $165.96 Typical High $257.04 | Professional | 55 · Aftercare only | $100.00 | $165.96 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $660.69 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $389.05 | $660.69 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $2,137.96 | Facility | None | $724.44 | $1,122.02 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $933.25 Typical High $1,548.82 | Professional | None | $489.78 | $933.25 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,819.70 | Facility | None | $645.65 | $1,047.13 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,479.11 | Professional | None | $478.63 | $831.76 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $4,365.16 | Facility | None | $512.86 | $1,659.59 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,000.00 Typical High $3,235.94 | Professional | None | $489.78 | $1,000.00 | $3,235.94 |
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 $338.84 Median $676.08 Typical High $1,380.38 | Professional | None | $338.84 | $676.08 | $1,380.38 |
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 $144.54 Median $218.78 Typical High $218.78 | Facility | 52 · Reduced service | $144.54 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $87.10 Typical High $87.10 | Facility | 53 · Discontinued | $58.88 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $43.65 Typical High $43.65 | Facility | 56 · Pre-op care only | $29.51 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $144.54 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $58.88 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $29.51 | $42.66 | $43.65 |
Where Minnesota sits
The same service costs 4.7 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
$776
AK $1,175UT $251
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.