How much rates vary
Facilitymedian $1,175 · 10th to 90th $380 to $7,244Professionalmedian $912 · 10th to 90th $447 to $1,660
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 $380.19 Median $380.19 Typical High $812.83 | Facility | None | $380.19 | $380.19 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | 54 · Surgery only | $288.40 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $331.13 |
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 Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,445.44 | Professional | None | $645.65 | $870.96 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $691.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $512.86 | $691.83 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $724.44 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $537.03 | $724.44 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,905.46 | Professional | None | $758.58 | $1,202.26 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,698.24 | Facility | None | $602.56 | $954.99 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,659.59 | Professional | None | $676.08 | $1,096.48 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $6,760.83 | Facility | None | $707.95 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $891.25 Typical High $3,311.31 | Professional | None | $489.78 | $891.25 | $3,311.31 |
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 $457.09 Median $851.14 Typical High $1,584.89 | Professional | None | $457.09 | $851.14 | $1,584.89 |
11 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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $46.77 |
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 50 · Both sides Typical Low $954.99 Median $1,318.26 Typical High $2,187.76 | Professional | 50 · Both sides | $954.99 | $1,318.26 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $173.78 Typical High $288.40 | Professional | 55 · Aftercare only | $128.82 | $173.78 | $288.40 |
Where Minnesota sits
The same service costs 6.0 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· 7th of 51
$977
OK $1,862UT $309
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.