How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,047 to $6,026Professionalmedian $1,905 · 10th to 90th $1,047 to $3,890
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $812.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $8,709.64 | Facility | None | $2,691.53 | $4,265.80 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,445.44 | $1,819.70 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,479.11 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,148.15 | $1,479.11 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $371.54 Typical High $630.96 | Professional | 55 · Aftercare only | $288.40 | $371.54 | $630.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,548.82 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,548.82 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,897.79 | Facility | None | $1,621.81 | $2,511.89 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,454.71 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,445.44 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,290.87 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $5,495.41 | Facility | None | $1,513.56 | $2,187.76 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $7,413.10 | Professional | None | $1,071.52 | $1,819.70 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,309.57 | Facility | None | $1,513.56 | $2,511.89 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,698.24 | $3,467.37 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | 52 · Reduced service | $524.81 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $117.49 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,570.88 Median $8,511.38 Typical High $15,135.61 | Facility | 50 · Both sides | $4,570.88 | $8,511.38 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,754.23 Typical High $4,897.79 | Professional | 50 · Both sides | $2,187.76 | $2,754.23 | $4,897.79 |
Where Minnesota sits
The same service costs 7.2 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· 6th of 51
$1,995
AK $3,981UT $550
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.