How much rates vary
Facilitymedian $437 · 10th to 90th $229 to $1,259Professionalmedian $479 · 10th to 90th $257 to $891
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 $229.09 Median $257.04 Typical High $257.04 | Facility | None | $229.09 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $169.82 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.88 Median $38.90 Typical High $38.90 | Facility | 55 · Aftercare only | $33.88 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $177.83 Typical High $177.83 | Facility | 78 · Unplanned return to OR | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $295.12 | Professional | None | $229.09 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $190.55 Typical High $194.98 | Professional | 54 · Surgery only | $169.82 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $177.83 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $158.49 | $177.83 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $2,187.76 | Facility | None | $398.11 | $1,071.52 | $2,187.76 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,071.52 Typical High $1,995.26 | Facility | 50 · Both sides | $588.84 | $1,071.52 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $776.25 | Professional | None | $346.74 | $524.81 | $776.25 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $794.33 Typical High $1,174.90 | Professional | 50 · Both sides | $524.81 | $794.33 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $426.58 Typical High $616.60 | Professional | 54 · Surgery only | $275.42 | $426.58 | $616.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $104.71 Typical High $151.36 | Professional | 55 · Aftercare only | $72.44 | $104.71 | $151.36 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $446.68 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $295.12 | $446.68 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Professional | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $1,000.00 | Facility | None | $354.81 | $588.84 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $891.25 | Professional | None | $354.81 | $537.03 | $891.25 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,148.15 | Facility | None | $125.89 | $398.11 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $1,778.28 | Professional | None | $275.42 | $489.78 | $1,778.28 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $870.96 | Professional | None | $245.47 | $407.38 | $870.96 |
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 $112.20 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $112.20 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $45.71 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $25.70 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Florida. 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
$479
AK $871FL $204
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.