How much rates vary
Facilitymedian $2,042 · 10th to 90th $537 to $7,079Professionalmedian $977 · 10th to 90th $513 to $1,778
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 $346.74 Median $2,041.74 Typical High $7,079.46 | Facility | None | $346.74 | $2,041.74 | $7,079.46 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $257.04 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $52.48 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $239.88 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $691.83 | Professional | None | $346.74 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $257.04 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $52.48 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $239.88 | $371.54 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,715.35 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $1,584.89 | Professional | None | $562.34 | $933.25 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $758.58 Typical High $1,258.93 | Professional | 54 · Surgery only | $446.68 | $758.58 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $190.55 Typical High $302.00 | Professional | 55 · Aftercare only | $114.82 | $190.55 | $302.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $794.33 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $478.63 | $794.33 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,995.26 | Professional | None | $676.08 | $1,096.48 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,862.09 | Professional | None | $630.96 | $1,000.00 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,187.76 Typical High $5,495.41 | Facility | None | $602.56 | $2,187.76 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,238.72 | Professional | None | $794.33 | $1,318.26 | $2,238.72 |
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 $562.34 Median $1,071.52 Typical High $1,862.09 | Professional | None | $562.34 | $1,071.52 | $1,862.09 |
9 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 $173.78 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $173.78 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $69.18 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $34.67 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $173.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $34.67 | $53.70 | $53.70 |
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 $851.14 Median $1,412.54 Typical High $2,398.83 | Professional | 50 · Both sides | $851.14 | $1,412.54 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $588.84 Typical High $954.99 | Professional | 62 · Two surgeons | $338.84 | $588.84 | $954.99 |
Where Minnesota sits
The same service costs 4.3 times more in Wisconsin 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· 3rd of 51
$1,047
WI $1,862TX $437
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.