How much rates vary
Facilitymedian $1,738 · 10th to 90th $427 to $7,244Professionalmedian $1,000 · 10th to 90th $479 to $1,862
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 $426.58 Median $426.58 Typical High $5,248.07 | Facility | None | $426.58 | $426.58 | $5,248.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,943.28 Typical High $15,135.61 | Facility | None | $4,570.88 | $7,943.28 | $15,135.61 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,918.31 Median $12,882.50 Typical High $22,908.68 | Facility | 50 · Both sides | $6,918.31 | $12,882.50 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,621.81 | Professional | None | $707.95 | $954.99 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,445.44 Typical High $2,398.83 | Professional | 50 · Both sides | $1,071.52 | $1,445.44 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $776.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $562.34 | $776.25 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $190.55 Typical High $316.23 | Professional | 55 · Aftercare only | $141.25 | $190.55 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $812.83 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $588.84 | $812.83 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,187.76 | Facility | None | $741.31 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,089.30 | Professional | None | $851.14 | $1,318.26 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,819.70 | Professional | None | $741.31 | $1,202.26 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,187.76 Typical High $7,762.47 | Facility | None | $794.33 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,801.89 | Professional | None | $549.54 | $1,000.00 | $3,801.89 |
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 $512.86 Median $933.25 Typical High $1,737.80 | Professional | None | $512.86 | $933.25 | $1,737.80 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $52.48 |
Where Minnesota sits
The same service costs 8.7 times more in Oklahoma than in Utah. 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· 8th of 51
$1,122
OK $2,951UT $339
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.