How much rates vary
Facilitymedian $1,259 · 10th to 90th $339 to $4,677Professionalmedian $813 · 10th to 90th $427 to $1,585
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 $338.84 Median $512.86 Typical High $512.86 | Facility | None | $338.84 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $251.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $50.12 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $354.81 Typical High $354.81 | Facility | 78 · Unplanned return to OR | $234.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $512.86 | Professional | None | $338.84 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $251.19 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $69.18 Typical High $75.86 | Professional | 55 · Aftercare only | $50.12 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $234.42 | $323.59 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,659.59 Median $4,073.80 Typical High $8,912.51 | Facility | None | $1,659.59 | $4,073.80 | $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 $524.81 Median $891.25 Typical High $1,412.54 | Professional | None | $524.81 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,318.26 Typical High $2,137.96 | Professional | 50 · Both sides | $794.33 | $1,318.26 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $707.95 Typical High $1,122.02 | Professional | 54 · Surgery only | $416.87 | $707.95 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $181.97 Typical High $275.42 | Professional | 55 · Aftercare only | $104.71 | $181.97 | $275.42 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $741.31 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $436.52 | $741.31 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,230.27 Typical High $2,344.23 | Facility | None | $794.33 | $1,230.27 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,023.29 Typical High $1,698.24 | Professional | None | $524.81 | $1,023.29 | $1,698.24 |
Health Partners Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,995.26 | Facility | None | $707.95 | $1,148.15 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,659.59 | Professional | None | $524.81 | $912.01 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,659.59 Typical High $4,786.30 | Facility | None | $549.54 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $3,548.13 | Professional | None | $537.03 | $954.99 | $3,548.13 |
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 $380.19 Median $691.83 Typical High $1,479.11 | Professional | None | $380.19 | $691.83 | $1,479.11 |
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 $169.82 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $169.82 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $67.61 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $33.88 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $169.82 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $67.61 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.88 | $46.77 | $51.29 |
Where Minnesota sits
The same service costs 5.9 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
$851
AK $1,698UT $288
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.