How much rates vary
Facilitymedian $2,512 · 10th to 90th $407 to $7,413Professionalmedian $1,549 · 10th to 90th $617 to $4,074
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 $407.38 Median $1,348.96 Typical High $1,348.96 | Facility | None | $407.38 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $309.03 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $309.03 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $61.66 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $61.66 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $288.40 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,348.96 Typical High $1,548.82 | Professional | None | $407.38 | $1,348.96 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $309.03 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $61.66 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $288.40 | $954.99 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $13,803.84 | Facility | None | $4,168.69 | $7,079.46 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $1,995.26 Typical High $3,548.13 | Professional | None | $691.83 | $1,995.26 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,621.81 Typical High $2,818.38 | Professional | 54 · Surgery only | $562.34 | $1,621.81 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $371.54 Typical High $707.95 | Professional | 55 · Aftercare only | $138.04 | $371.54 | $707.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $1,698.24 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $588.84 | $1,698.24 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,862.09 | $3,019.95 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,995.26 Typical High $5,011.87 | Professional | None | $794.33 | $1,995.26 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $758.58 Median $1,778.28 Typical High $4,073.80 | Professional | None | $758.58 | $1,778.28 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,511.89 Typical High $6,918.31 | Facility | None | $691.83 | $2,511.89 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,412.54 | $2,754.23 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,479.11 Typical High $4,677.35 | Professional | None | $512.86 | $1,479.11 | $4,677.35 |
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 $204.17 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $204.17 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $269.15 Typical High $269.15 | Facility | 53 · Discontinued | $81.28 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $134.90 Typical High $134.90 | Facility | 56 · Pre-op care only | $40.74 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $204.17 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $81.28 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $40.74 | $134.90 | $134.90 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,748.98 Typical High $20,892.96 | Facility | 50 · Both sides | $6,309.57 | $11,748.98 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $3,019.95 Typical High $5,248.07 | Professional | 50 · Both sides | $1,047.13 | $3,019.95 | $5,248.07 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 7th of 51
$1,905
AK $3,020NE $692
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.