How much rates vary
Facilitymedian $1,000 · 10th to 90th $525 to $2,344Professionalmedian $1,096 · 10th to 90th $562 to $1,995
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 $524.81 Median $562.34 Typical High $562.34 | Facility | None | $524.81 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $426.58 | Facility | 54 · Surgery only | $398.11 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $79.43 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $724.44 | Professional | None | $524.81 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $371.54 | $398.11 | $416.87 |
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 $776.25 Median $1,122.02 Typical High $1,698.24 | Professional | None | $776.25 | $1,122.02 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,698.24 Typical High $2,570.40 | Professional | 50 · Both sides | $1,148.15 | $1,698.24 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $912.01 Typical High $1,348.96 | Professional | 54 · Surgery only | $616.60 | $912.01 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $223.87 Typical High $331.13 | Professional | 55 · Aftercare only | $162.18 | $223.87 | $331.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $954.99 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $645.65 | $954.99 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,630.27 | Facility | None | $870.96 | $1,348.96 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,238.72 | Professional | None | $831.76 | $1,318.26 | $2,238.72 |
Health Partners Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $2,187.76 | Facility | None | $776.25 | $1,288.25 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,041.74 | Professional | None | $776.25 | $1,202.26 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $2,570.40 | Facility | None | $588.84 | $954.99 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $5,495.41 | Professional | None | $645.65 | $1,122.02 | $5,495.41 |
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 $562.34 Median $954.99 Typical High $1,905.46 | Professional | None | $562.34 | $954.99 | $1,905.46 |
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 $263.03 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $263.03 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $107.15 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $107.15 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $58.88 |
Where Minnesota sits
The same service costs 6.2 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· 5th of 51
$1,072
AK $1,995UT $324
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.