How much rates vary
Facilitymedian $1,514 · 10th to 90th $363 to $4,169Professionalmedian $1,023 · 10th to 90th $490 to $1,995
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 $363.08 Median $602.56 Typical High $602.56 | Facility | None | $363.08 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $446.68 Typical High $446.68 | Facility | 54 · Surgery only | $275.42 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $54.95 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $416.87 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $257.04 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $602.56 | Professional | None | $363.08 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $275.42 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $85.11 Typical High $91.20 | Professional | 55 · Aftercare only | $54.95 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $398.11 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $257.04 | $398.11 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $6,165.95 | Facility | None | $1,862.09 | $3,090.30 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,778.28 | Professional | None | $602.56 | $1,071.52 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $870.96 Typical High $1,412.54 | Professional | 54 · Surgery only | $489.78 | $870.96 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $223.87 Typical High $363.08 | Professional | 55 · Aftercare only | $131.83 | $223.87 | $363.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $912.01 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $512.86 | $912.01 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,951.21 | Facility | None | $977.24 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $2,137.96 | Professional | None | $616.60 | $1,230.27 | $2,137.96 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,454.71 | Facility | None | $870.96 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,041.74 | Professional | None | $602.56 | $1,096.48 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $4,786.30 | Facility | None | $645.65 | $1,698.24 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,318.26 Typical High $4,365.16 | Professional | None | $630.96 | $1,318.26 | $4,365.16 |
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 $389.05 Median $851.14 Typical High $1,862.09 | Professional | None | $389.05 | $851.14 | $1,862.09 |
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 $181.97 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $181.97 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $72.44 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $36.31 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $181.97 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $36.31 | $56.23 | $60.26 |
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 50 · Both sides Typical Low $912.01 Median $1,621.81 Typical High $2,691.53 | Professional | 50 · Both sides | $912.01 | $1,621.81 | $2,691.53 |
Where Minnesota sits
The same service costs 4.7 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
$1,047
AK $1,660TX $355
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.