How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,096 to $12,023Professionalmedian $2,291 · 10th to 90th $1,096 to $4,169
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,122.02 | Professional | None | $1,096.48 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 54 · Surgery only | $812.83 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,888.44 Median $12,589.25 Typical High $26,915.35 | Facility | None | $5,888.44 | $12,589.25 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,737.80 | $2,344.23 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,862.09 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,380.38 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $467.74 Typical High $758.58 | Professional | 55 · Aftercare only | $346.74 | $467.74 | $758.58 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,949.84 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,949.84 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,370.32 | Facility | None | $1,778.28 | $2,754.23 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,698.24 | $2,884.03 | $4,570.88 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,691.53 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $4,365.16 Typical High $9,332.54 | Facility | None | $1,862.09 | $4,365.16 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $8,128.31 | Professional | None | $1,096.48 | $1,949.84 | $8,128.31 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $3,981.07 | Professional | None | $1,047.13 | $1,737.80 | $3,981.07 |
8 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 $549.54 Median $549.54 Typical High $549.54 | Facility | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | 53 · Discontinued | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $112.20 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,630.27 Median $3,548.13 Typical High $5,623.41 | Professional | 50 · Both sides | $2,630.27 | $3,548.13 | $5,623.41 |
Where Minnesota sits
The same service costs 13.8 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· 5th of 51
$2,344
AK $4,467TX $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.