How much rates vary
Facilitymedian $832 · 10th to 90th $214 to $4,365Professionalmedian $537 · 10th to 90th $282 to $1,047
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 $213.80 Median $338.84 Typical High $338.84 | Facility | None | $213.80 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $162.18 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $32.36 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $234.42 Typical High $234.42 | Facility | 78 · Unplanned return to OR | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $338.84 | Professional | None | $213.80 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $234.42 Typical High $251.19 | Professional | 54 · Surgery only | $162.18 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $50.12 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $218.78 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $151.36 | $218.78 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,122.02 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,122.02 | $3,801.89 | $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 $338.84 Median $575.44 Typical High $912.01 | Professional | None | $338.84 | $575.44 | $912.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $870.96 Typical High $1,380.38 | Professional | 50 · Both sides | $512.86 | $870.96 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $457.09 Typical High $724.44 | Professional | 54 · Surgery only | $275.42 | $457.09 | $724.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $117.49 Typical High $181.97 | Professional | 55 · Aftercare only | $67.61 | $117.49 | $181.97 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $478.63 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $288.40 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,548.82 | Facility | None | $524.81 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $1,148.15 | Professional | None | $338.84 | $660.69 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,288.25 | Facility | None | $467.74 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $1,071.52 | Professional | None | $338.84 | $588.84 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,621.81 Typical High $4,365.16 | Facility | None | $363.08 | $1,621.81 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $3,235.94 | Professional | None | $363.08 | $616.60 | $3,235.94 |
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 $257.04 Median $446.68 Typical High $954.99 | Professional | None | $257.04 | $446.68 | $954.99 |
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 $107.15 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $107.15 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $42.66 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $21.38 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $154.88 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $61.66 Typical High $67.61 | Professional | 53 · Discontinued | $42.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.90 Typical High $33.88 | Professional | 56 · Pre-op care only | $21.38 | $30.90 | $33.88 |
Where Minnesota sits
The same service costs 4.3 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· 5th of 51
$550
WY $933UT $219
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.