How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,479 to $9,772Professionalmedian $2,630 · 10th to 90th $1,479 to $5,248
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,148.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $8,912.51 Typical High $14,791.08 | Facility | None | $5,011.87 | $8,912.51 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,630.27 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,089.30 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,659.59 | $2,089.30 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $524.81 Typical High $870.96 | Professional | 55 · Aftercare only | $416.87 | $524.81 | $870.96 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,187.76 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,187.76 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $5,888.44 | Professional | None | $2,041.74 | $3,467.37 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,311.31 | $5,754.40 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,495.41 | Professional | None | $1,995.26 | $3,235.94 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,995.26 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $11,220.18 | Professional | None | $1,412.54 | $2,344.23 | $11,220.18 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $4,677.35 | Professional | None | $1,348.96 | $2,238.72 | $4,677.35 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 52 · Reduced service | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 53 · Discontinued | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $162.18 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $14,125.38 Typical High $25,118.86 | Facility | 50 · Both sides | $7,413.10 | $14,125.38 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,890.45 Typical High $6,760.83 | Professional | 50 · Both sides | $3,090.30 | $3,890.45 | $6,760.83 |
Where Minnesota sits
The same service costs 7.4 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· 6th of 51
$2,818
AK $5,623UT $759
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.