How much rates vary
Facilitymedian $1,995 · 10th to 90th $646 to $6,761Professionalmedian $1,349 · 10th to 90th $646 to $2,455
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | None | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 54 · Surgery only | $478.63 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $457.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $5,623.41 Typical High $12,022.64 | Facility | None | $3,090.30 | $5,623.41 | $12,022.64 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,897.79 Median $11,481.54 Typical High $19,054.61 | Facility | 50 · Both sides | $4,897.79 | $11,481.54 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | 50 · Both sides | $1,548.82 | $2,089.30 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,122.02 Typical High $1,737.80 | Professional | 54 · Surgery only | $812.83 | $1,122.02 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | 55 · Aftercare only | $204.17 | $275.42 | $436.52 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,174.90 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $870.96 | $1,174.90 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,621.81 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,000.00 | $1,698.24 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,630.27 | Facility | None | $933.25 | $1,513.56 | $2,630.27 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,511.89 | Professional | None | $891.25 | $1,584.89 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $5,128.61 | Professional | None | $676.08 | $1,258.93 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,235.94 | $8,511.38 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,290.87 | Professional | None | $645.65 | $1,122.02 | $2,290.87 |
6 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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 52 · Reduced service | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 53 · Discontinued | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $66.07 |
Where Minnesota sits
The same service costs 7.4 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
$1,380
AK $2,630TX $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.