How much rates vary
Facilitymedian $1,950 · 10th to 90th $776 to $5,888Professionalmedian $1,122 · 10th to 90th $479 to $2,692
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None | $776.25 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $588.84 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,884.03 Median $5,248.07 Typical High $10,000.00 | Facility | None | $2,884.03 | $5,248.07 | $10,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $537.03 | Professional | None | $426.58 | $478.63 | $537.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 54 · Surgery only | $346.74 | $389.05 | $426.58 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $107.15 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $3,019.95 | Professional | None | $1,047.13 | $1,778.28 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,659.59 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,288.25 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $5,623.41 | Professional | None | $812.83 | $1,412.54 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $6,309.57 | Facility | None | $1,548.82 | $2,511.89 | $6,309.57 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $2,691.53 | Professional | None | $794.33 | $1,348.96 | $2,691.53 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $389.05 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $89.13 |
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 $645.65 Median $724.44 Typical High $812.83 | Professional | 50 · Both sides | $645.65 | $724.44 | $812.83 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska than in New York. 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· 12th of 51
$1,318
AK $3,090NY $676
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.