How much rates vary
Facilitymedian $794 · 10th to 90th $380 to $2,138Professionalmedian $776 · 10th to 90th $417 to $1,445
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 $380.19 Median $416.87 Typical High $416.87 | Facility | None | $380.19 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $309.03 | Facility | 54 · Surgery only | $281.84 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $61.66 | Facility | 55 · Aftercare only | $56.23 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $288.40 Typical High $288.40 | Facility | 78 · Unplanned return to OR | $263.03 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $467.74 | Professional | None | $380.19 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $316.23 | Professional | 54 · Surgery only | $281.84 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $63.10 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $288.40 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $263.03 | $288.40 | $295.12 |
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 $549.54 Median $831.76 Typical High $1,230.27 | Professional | None | $549.54 | $831.76 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,230.27 Typical High $1,862.09 | Professional | 50 · Both sides | $812.83 | $1,230.27 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $660.69 Typical High $1,000.00 | Professional | 54 · Surgery only | $436.52 | $660.69 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $162.18 Typical High $239.88 | Professional | 55 · Aftercare only | $114.82 | $162.18 | $239.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $691.83 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $457.09 | $691.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,584.89 | Professional | None | $562.34 | $954.99 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,445.44 | Professional | None | $575.44 | $870.96 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $2,570.40 | Facility | None | $457.09 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $776.25 Typical High $2,884.03 | Professional | None | $436.52 | $776.25 | $2,884.03 |
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 $398.11 Median $660.69 Typical High $1,380.38 | Professional | None | $398.11 | $660.69 | $1,380.38 |
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 $186.21 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $186.21 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $75.86 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.02 | $41.69 | $41.69 |
Where Minnesota sits
The same service costs 5.6 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
$776
AK $1,413UT $251
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.