How much rates vary
Facilitymedian $1,549 · 10th to 90th $537 to $7,079Professionalmedian $977 · 10th to 90th $537 to $1,950
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | None | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $7,079.46 Typical High $15,135.61 | Facility | None | $2,691.53 | $7,079.46 | $15,135.61 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $15,135.61 Typical High $26,915.35 | Facility | 50 · Both sides | $7,943.28 | $15,135.61 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,659.59 | Professional | None | $741.31 | $933.25 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,412.54 Typical High $2,454.71 | Professional | 50 · Both sides | $1,096.48 | $1,412.54 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $741.31 Typical High $1,318.26 | Professional | 54 · Surgery only | $588.84 | $741.31 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $186.21 Typical High $316.23 | Professional | 55 · Aftercare only | $147.91 | $186.21 | $316.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $776.25 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $616.60 | $776.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $2,137.96 | Professional | None | $741.31 | $1,258.93 | $2,137.96 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,041.74 | Facility | None | $741.31 | $1,174.90 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,995.26 | Professional | None | $724.44 | $1,174.90 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,137.96 Typical High $6,760.83 | Facility | None | $870.96 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $3,715.35 | Professional | None | $549.54 | $933.25 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,778.28 | Professional | None | $512.86 | $891.25 | $1,778.28 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 53 · Discontinued | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $58.88 |
Where Minnesota sits
The same service costs 7.9 times more in Wyoming 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· 8th of 51
$1,047
WY $2,344UT $295
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.