How much rates vary
Facilitymedian $603 · 10th to 90th $105 to $2,512Professionalmedian $331 · 10th to 90th $148 to $759
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 $104.71 Median $257.04 Typical High $257.04 | Facility | None | $104.71 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $79.43 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $38.90 Typical High $38.90 | Facility | 55 · Aftercare only | $15.85 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $181.97 Typical High $181.97 | Facility | 78 · Unplanned return to OR | $74.13 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $257.04 | Professional | None | $104.71 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $173.78 Typical High $194.98 | Professional | 54 · Surgery only | $79.43 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $34.67 Typical High $38.90 | Professional | 55 · Aftercare only | $15.85 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $162.18 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $74.13 | $162.18 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $1,584.89 Typical High $3,630.78 | Facility | None | $524.81 | $1,584.89 | $3,630.78 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,905.46 Median $3,548.13 Typical High $6,456.54 | Facility | 50 · Both sides | $1,905.46 | $3,548.13 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $165.96 Median $389.05 Typical High $660.69 | Professional | None | $165.96 | $389.05 | $660.69 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $588.84 Typical High $977.24 | Professional | 50 · Both sides | $245.47 | $588.84 | $977.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $309.03 Typical High $524.81 | Professional | 54 · Surgery only | $131.83 | $309.03 | $524.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $74.13 Typical High $131.83 | Professional | 55 · Aftercare only | $33.11 | $74.13 | $131.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $331.13 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $138.04 | $331.13 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,174.90 | Facility | None | $380.19 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $407.38 Typical High $831.76 | Professional | None | $169.82 | $407.38 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $398.11 Typical High $812.83 | Professional | None | $165.96 | $398.11 | $812.83 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $1,096.48 Typical High $3,090.30 | Facility | None | $177.83 | $1,096.48 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $1,949.84 | Professional | None | $263.03 | $478.63 | $1,949.84 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $295.12 Typical High $724.44 | Professional | None | $125.89 | $295.12 | $724.44 |
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 $52.48 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $52.48 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $20.89 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $10.47 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $52.48 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $20.89 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $23.44 Typical High $25.70 | Professional | 56 · Pre-op care only | $10.47 | $23.44 | $25.70 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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
$363
AK $562KY $100
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.