How much rates vary
Facilitymedian $1,514 · 10th to 90th $398 to $8,913Professionalmedian $832 · 10th to 90th $398 to $1,514
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | None | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $11,748.98 Typical High $26,915.35 | Facility | None | $2,238.72 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,348.96 | Professional | None | $645.65 | $870.96 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $691.83 Typical High $1,096.48 | Professional | 54 · Surgery only | $524.81 | $691.83 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $177.83 Typical High $269.15 | Professional | 55 · Aftercare only | $131.83 | $177.83 | $269.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $724.44 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $549.54 | $724.44 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,659.59 | Professional | None | $630.96 | $1,071.52 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $1,621.81 | Facility | None | $588.84 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,584.89 | Professional | None | $562.34 | $977.24 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $6,760.83 | Facility | None | $691.83 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $3,630.78 | Professional | None | $416.87 | $776.25 | $3,630.78 |
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 $389.05 Median $691.83 Typical High $1,412.54 | Professional | None | $389.05 | $691.83 | $1,412.54 |
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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
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 $977.24 Median $1,318.26 Typical High $2,041.74 | Professional | 50 · Both sides | $977.24 | $1,318.26 | $2,041.74 |
Where Minnesota sits
The same service costs 7.2 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· 6th of 51
$891
AK $1,622TX $224
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.