How much rates vary
Facilitymedian $1,122 · 10th to 90th $288 to $7,079Professionalmedian $759 · 10th to 90th $380 to $1,445
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 $288.40 Median $426.58 Typical High $426.58 | Facility | None | $288.40 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $213.80 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $42.66 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $302.00 Typical High $302.00 | Facility | 78 · Unplanned return to OR | $199.53 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $436.52 | Professional | None | $288.40 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $309.03 Typical High $323.59 | Professional | 54 · Surgery only | $213.80 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $288.40 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $199.53 | $288.40 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $14,454.40 | Facility | None | $4,265.80 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,288.25 | Professional | None | $457.09 | $758.58 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $602.56 Typical High $1,023.29 | Professional | 54 · Surgery only | $363.08 | $602.56 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $158.49 Typical High $257.04 | Professional | 55 · Aftercare only | $97.72 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $645.65 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $380.19 | $645.65 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $1,479.11 | Professional | None | $478.63 | $891.25 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,445.44 | Professional | None | $478.63 | $831.76 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,698.24 Typical High $5,011.87 | Facility | None | $501.19 | $1,698.24 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,096.48 Typical High $3,162.28 | Professional | None | $489.78 | $1,096.48 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $1,348.96 | Professional | None | $354.81 | $724.44 | $1,348.96 |
9 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 $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $144.54 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $28.84 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $28.84 | $41.69 | $42.66 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $1,148.15 Typical High $1,949.84 | Professional | 50 · Both sides | $676.08 | $1,148.15 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $295.12 Median $489.78 Typical High $776.25 | Professional | 62 · Two surgeons | $295.12 | $489.78 | $776.25 |
Where Minnesota sits
The same service costs 5.9 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
$776
AK $1,413UT $240
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.