How much rates vary
Facilitymedian $813 · 10th to 90th $331 to $3,631Professionalmedian $661 · 10th to 90th $347 to $1,259
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 $331.13 Median $354.81 Typical High $3,630.78 | Facility | None | $331.13 | $354.81 | $3,630.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $269.15 Typical High $269.15 | Facility | 54 · Surgery only | $251.19 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $50.12 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $251.19 Typical High $251.19 | Facility | 78 · Unplanned return to OR | $234.42 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $537.03 | Professional | None | $323.59 | $354.81 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $269.15 Typical High $275.42 | Professional | 54 · Surgery only | $251.19 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $251.19 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $234.42 | $251.19 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $1,737.80 Typical High $2,754.23 | Facility | None | $724.44 | $1,737.80 | $2,754.23 |
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 $478.63 Median $707.95 Typical High $1,071.52 | Professional | None | $478.63 | $707.95 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $1,071.52 Typical High $1,584.89 | Professional | 50 · Both sides | $724.44 | $1,071.52 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $575.44 Typical High $851.14 | Professional | 54 · Surgery only | $389.05 | $575.44 | $851.14 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $141.25 Typical High $208.93 | Professional | 55 · Aftercare only | $102.33 | $141.25 | $208.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $602.56 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $407.38 | $602.56 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,380.38 | Professional | None | $489.78 | $812.83 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,380.38 | Facility | None | $489.78 | $812.83 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,288.25 | Professional | None | $501.19 | $758.58 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $2,187.76 | Facility | None | $446.68 | $794.33 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $2,344.23 | Professional | None | $407.38 | $691.83 | $2,344.23 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $977.24 Typical High $2,454.71 | Professional | 50 · Both sides | $707.95 | $977.24 | $2,454.71 |
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 $338.84 Median $575.44 Typical High $1,174.90 | Professional | None | $338.84 | $575.44 | $1,174.90 |
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 $165.96 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Facility | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $35.48 | Facility | 56 · Pre-op care only | $33.11 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $37.15 |
Where Minnesota sits
The same service costs 5.8 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
$692
AK $1,259UT $219
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.