How much rates vary
Facilitymedian $1,380 · 10th to 90th $324 to $7,943Professionalmedian $776 · 10th to 90th $389 to $1,413
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 78 · Unplanned return to OR | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None | $323.59 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $229.09 | $229.09 | $281.84 |
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 $549.54 Median $741.31 Typical High $1,230.27 | Professional | None | $549.54 | $741.31 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $588.84 Typical High $1,000.00 | Professional | 54 · Surgery only | $436.52 | $588.84 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $147.91 Typical High $245.47 | Professional | 55 · Aftercare only | $109.65 | $147.91 | $245.47 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $616.60 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $457.09 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,698.24 | Facility | None | $575.44 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,621.81 | Professional | None | $645.65 | $1,023.29 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,412.54 | Facility | None | $512.86 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $1,412.54 | Professional | None | $575.44 | $933.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $6,760.83 | Facility | None | $602.56 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $5,128.61 | Professional | None | $416.87 | $758.58 | $5,128.61 |
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 $389.05 Median $724.44 Typical High $1,348.96 | Professional | None | $389.05 | $724.44 | $1,348.96 |
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 $162.18 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $39.81 |
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 $812.83 Median $1,122.02 Typical High $1,862.09 | Professional | 50 · Both sides | $812.83 | $1,122.02 | $1,862.09 |
Where Minnesota sits
The same service costs 6.9 times more in Alaska 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
$851
AK $1,905UT $275
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.