How much rates vary
Facilitymedian $1,202 · 10th to 90th $316 to $4,571Professionalmedian $776 · 10th to 90th $417 to $1,514
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 $316.23 Median $489.78 Typical High $489.78 | Facility | None | $316.23 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $363.08 | Facility | 54 · Surgery only | $239.88 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $72.44 | Facility | 55 · Aftercare only | $47.86 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $338.84 | Facility | 78 · Unplanned return to OR | $223.87 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $489.78 | Professional | None | $316.23 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $346.74 Typical High $363.08 | Professional | 54 · Surgery only | $239.88 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $69.18 Typical High $72.44 | Professional | 55 · Aftercare only | $47.86 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $323.59 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $223.87 | $323.59 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $8,912.51 | Facility | None | $1,584.89 | $4,073.80 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,348.96 | Professional | None | $489.78 | $851.14 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $676.08 Typical High $1,071.52 | Professional | 54 · Surgery only | $398.11 | $676.08 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $173.78 Typical High $263.03 | Professional | 55 · Aftercare only | $97.72 | $173.78 | $263.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $707.95 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $416.87 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $977.24 Typical High $1,621.81 | Professional | None | $501.19 | $977.24 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,584.89 | Professional | None | $501.19 | $870.96 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,621.81 Typical High $4,786.30 | Facility | None | $537.03 | $1,621.81 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $3,388.44 | Professional | None | $512.86 | $912.01 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,513.56 | $2,511.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $1,412.54 | Professional | None | $371.54 | $660.69 | $1,412.54 |
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 $158.49 Median $245.47 Typical High $245.47 | Facility | 52 · Reduced service | $158.49 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $97.72 Typical High $97.72 | Facility | 53 · Discontinued | $63.10 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $48.98 Typical High $48.98 | Facility | 56 · Pre-op care only | $31.62 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $158.49 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $93.33 Typical High $97.72 | Professional | 53 · Discontinued | $63.10 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $46.77 Typical High $48.98 | Professional | 56 · Pre-op care only | $31.62 | $46.77 | $48.98 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $8,511.38 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $8,511.38 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,258.93 Typical High $1,995.26 | Professional | 50 · Both sides | $741.31 | $1,258.93 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $537.03 Typical High $831.76 | Professional | 62 · Two surgeons | $309.03 | $537.03 | $831.76 |
Where Minnesota sits
The same service costs 5.5 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· 4th of 51
$813
AK $1,585UT $288
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.