How much rates vary
Facilitymedian $479 · 10th to 90th $120 to $3,802Professionalmedian $302 · 10th to 90th $151 to $589
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 $120.23 Median $190.55 Typical High $190.55 | Facility | None | $120.23 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $89.13 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $89.13 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $17.78 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $134.90 Typical High $134.90 | Facility | 78 · Unplanned return to OR | $83.18 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $194.98 | Professional | None | $120.23 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $131.83 Typical High $144.54 | Professional | 54 · Surgery only | $89.13 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $26.30 Typical High $28.84 | Professional | 55 · Aftercare only | $17.78 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $123.03 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $83.18 | $123.03 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $3,715.35 Typical High $8,709.64 | Facility | None | $630.96 | $3,715.35 | $8,709.64 |
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 None Typical Low $186.21 Median $323.59 Typical High $524.81 | Professional | None | $186.21 | $323.59 | $524.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $478.63 Typical High $776.25 | Professional | 50 · Both sides | $275.42 | $478.63 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $257.04 Typical High $416.87 | Professional | 54 · Surgery only | $147.91 | $257.04 | $416.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $66.07 Typical High $104.71 | Professional | 55 · Aftercare only | $37.15 | $66.07 | $104.71 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $269.15 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $154.88 | $269.15 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $891.25 | Facility | None | $302.00 | $467.74 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $630.96 | Professional | None | $190.55 | $363.08 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $741.31 | Facility | None | $269.15 | $436.52 | $741.31 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $616.60 | Professional | None | $186.21 | $338.84 | $616.60 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $1,096.48 Typical High $3,467.37 | Facility | None | $199.53 | $1,096.48 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $1,318.26 | Professional | None | $194.98 | $346.74 | $1,318.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $537.03 | Professional | None | $141.25 | $251.19 | $537.03 |
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 $60.26 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $60.26 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $23.99 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $12.02 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $60.26 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $17.38 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.02 | $17.38 | $19.05 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 5th of 51
$309
AK $603KY $126
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.