How much rates vary
Facilitymedian $437 · 10th to 90th $209 to $1,288Professionalmedian $490 · 10th to 90th $234 to $871
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 $208.93 Median $251.19 Typical High $251.19 | Facility | None | $208.93 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $158.49 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $31.62 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $177.83 Typical High $177.83 | Facility | 78 · Unplanned return to OR | $147.91 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $251.19 | Professional | None | $208.93 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $173.78 Typical High $190.55 | Professional | 54 · Surgery only | $158.49 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $34.67 Typical High $38.02 | Professional | 55 · Aftercare only | $31.62 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $162.18 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $147.91 | $162.18 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $776.25 | Professional | None | $346.74 | $524.81 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $281.84 | $416.87 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $107.15 Typical High $154.88 | Professional | 55 · Aftercare only | $74.13 | $107.15 | $154.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $436.52 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $295.12 | $436.52 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,230.27 | Facility | None | $416.87 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $954.99 | Professional | None | $323.59 | $602.56 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $1,023.29 | Facility | None | $363.08 | $602.56 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $870.96 | Professional | None | $309.03 | $549.54 | $870.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,148.15 | Facility | None | $125.89 | $398.11 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $512.86 Typical High $1,819.70 | Professional | None | $229.09 | $512.86 | $1,819.70 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $794.33 | Professional | None | $199.53 | $346.74 | $794.33 |
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 $104.71 Median $125.89 Typical High $125.89 | Facility | 52 · Reduced service | $104.71 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $50.12 | Facility | 53 · Discontinued | $41.69 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.12 Typical High $25.12 | Facility | 56 · Pre-op care only | $20.89 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.91 Typical High $25.12 | Professional | 56 · Pre-op care only | $20.89 | $22.91 | $25.12 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $776.25 Typical High $1,174.90 | Professional | 50 · Both sides | $524.81 | $776.25 | $1,174.90 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska than in Florida. 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· 3rd of 51
$490
AK $832FL $166
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.