How much rates vary
Facilitymedian $1,995 · 10th to 90th $537 to $7,244Professionalmedian $977 · 10th to 90th $537 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 $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 $81.28 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None | $537.03 | $537.03 | $602.56 |
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 $81.28 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $6,456.54 Typical High $14,125.38 | Facility | None | $2,691.53 | $6,456.54 | $14,125.38 |
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 None Typical Low $724.44 Median $933.25 Typical High $1,659.59 | Professional | None | $724.44 | $933.25 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,380.38 Typical High $2,511.89 | Professional | 50 · Both sides | $1,096.48 | $1,380.38 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $741.31 Typical High $1,348.96 | Professional | 54 · Surgery only | $575.44 | $741.31 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $186.21 Typical High $323.59 | Professional | 55 · Aftercare only | $144.54 | $186.21 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $776.25 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $616.60 | $776.25 | $1,412.54 |
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 $1,202.26 Typical High $2,089.30 | Facility | None | $741.31 | $1,202.26 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,995.26 | Professional | None | $741.31 | $1,174.90 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,754.23 Typical High $7,762.47 | Facility | None | $891.25 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $6,918.31 | Professional | None | $562.34 | $977.24 | $6,918.31 |
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 $537.03 Median $912.01 Typical High $1,778.28 | Professional | None | $537.03 | $912.01 | $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 $120.23 | Professional | 53 · Discontinued | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $60.26 |
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· 7th of 51
$1,072
WY $2,399UT $302
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.