How much rates vary
Facilitymedian $1,445 · 10th to 90th $468 to $4,898Professionalmedian $1,047 · 10th to 90th $575 to $1,905
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 $467.74 Median $588.84 Typical High $588.84 | Facility | None | $467.74 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $436.52 Typical High $436.52 | Facility | 54 · Surgery only | $346.74 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $70.79 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $407.38 Typical High $407.38 | Facility | 78 · Unplanned return to OR | $323.59 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | None | $467.74 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $346.74 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $70.79 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $323.59 | $407.38 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $4,365.16 Typical High $8,912.51 | Facility | None | $2,344.23 | $4,365.16 | $8,912.51 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $8,511.38 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $8,511.38 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,698.24 | Professional | None | $724.44 | $1,096.48 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,621.81 Typical High $2,511.89 | Professional | 50 · Both sides | $1,071.52 | $1,621.81 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $870.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $575.44 | $870.96 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $218.78 Typical High $323.59 | Professional | 55 · Aftercare only | $144.54 | $218.78 | $323.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $912.01 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $602.56 | $912.01 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $2,691.53 | Facility | None | $912.01 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $2,089.30 | Professional | None | $724.44 | $1,230.27 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,290.87 | Facility | None | $812.83 | $1,348.96 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,949.84 | Professional | None | $724.44 | $1,174.90 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $4,786.30 | Facility | None | $758.58 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $4,677.35 | Professional | None | $616.60 | $1,096.48 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,513.56 | $2,511.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,905.46 | Professional | None | $524.81 | $870.96 | $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 $234.42 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $234.42 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $93.33 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $234.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $93.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $46.77 | $58.88 | $58.88 |
Where Minnesota sits
The same service costs 6.5 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 $2,239UT $347
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.