How much rates vary
Facilitymedian $741 · 10th to 90th $251 to $1,995Professionalmedian $562 · 10th to 90th $302 to $1,000
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 $251.19 Median $316.23 Typical High $1,862.09 | Facility | None | $251.19 | $316.23 | $1,862.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $186.21 Median $239.88 Typical High $239.88 | Facility | 54 · Surgery only | $186.21 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $47.86 Typical High $47.86 | Facility | 55 · Aftercare only | $38.02 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $223.87 Typical High $223.87 | Facility | 78 · Unplanned return to OR | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $380.19 | Professional | None | $251.19 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $38.02 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $173.78 | $223.87 | $223.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $4,073.80 | Facility | None | $724.44 | $1,778.28 | $4,073.80 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $2,041.74 Typical High $3,630.78 | Facility | 50 · Both sides | $1,096.48 | $2,041.74 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $912.01 | Professional | None | $380.19 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $870.96 Typical High $1,380.38 | Professional | 50 · Both sides | $575.44 | $870.96 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $467.74 Typical High $724.44 | Professional | 54 · Surgery only | $309.03 | $467.74 | $724.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $117.49 Typical High $177.83 | Professional | 55 · Aftercare only | $75.86 | $117.49 | $177.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $489.78 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $323.59 | $489.78 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,479.11 | Facility | None | $489.78 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $660.69 Typical High $1,122.02 | Professional | None | $389.05 | $660.69 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,230.27 | Facility | None | $436.52 | $724.44 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,047.13 | Professional | None | $389.05 | $645.65 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $2,187.76 | Facility | None | $426.58 | $724.44 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $2,818.38 | Professional | None | $354.81 | $562.34 | $2,818.38 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $1,023.29 | Professional | None | $302.00 | $478.63 | $1,023.29 |
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 $125.89 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $125.89 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $50.12 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.12 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $25.12 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.12 | $31.62 | $31.62 |
Where Minnesota sits
The same service costs 4.2 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· 4th of 51
$575
AK $955UT $229
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.