How much rates vary
Facilitymedian $282 · 10th to 90th $117 to $912Professionalmedian $275 · 10th to 90th $135 to $490
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 $117.49 Median $134.90 Typical High $134.90 | Facility | None | $117.49 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $87.10 Median $102.33 Typical High $102.33 | Facility | 54 · Surgery only | $87.10 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $17.38 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $95.50 Typical High $95.50 | Facility | 78 · Unplanned return to OR | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $173.78 | Professional | None | $117.49 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $100.00 Typical High $102.33 | Professional | 54 · Surgery only | $87.10 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $17.38 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $93.33 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $81.28 | $93.33 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $1,122.02 | Facility | None | $275.42 | $524.81 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,096.48 Typical High $1,949.84 | Facility | 50 · Both sides | $588.84 | $1,096.48 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $436.52 | Professional | None | $181.97 | $295.12 | $436.52 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $446.68 Typical High $660.69 | Professional | 50 · Both sides | $275.42 | $446.68 | $660.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $147.91 | $239.88 | $346.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $60.26 Typical High $87.10 | Professional | 55 · Aftercare only | $39.81 | $60.26 | $87.10 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $251.19 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $154.88 | $251.19 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $676.08 | Facility | None | $223.87 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $524.81 | Professional | None | $186.21 | $338.84 | $524.81 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $562.34 | Facility | None | $199.53 | $331.13 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $478.63 | Professional | None | $169.82 | $309.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $288.40 Typical High $1,148.15 | Facility | None | $125.89 | $288.40 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $1,737.80 | Professional | None | $151.36 | $302.00 | $1,737.80 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $478.63 | Professional | None | $128.82 | $229.09 | $478.63 |
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 $58.88 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $58.88 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $23.44 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.49 Typical High $13.49 | Facility | 56 · Pre-op care only | $11.75 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.18 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.75 | $13.18 | $13.49 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 4th of 51
$275
AK $490FL $117
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.