How much rates vary
Facilitymedian $813 · 10th to 90th $219 to $4,365Professionalmedian $525 · 10th to 90th $282 to $1,023
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 $218.78 Median $331.13 Typical High $331.13 | Facility | None | $218.78 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $162.18 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $32.36 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $229.09 Typical High $229.09 | Facility | 78 · Unplanned return to OR | $151.36 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $331.13 | Professional | None | $218.78 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $223.87 Typical High $245.47 | Professional | 54 · Surgery only | $162.18 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $208.93 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $151.36 | $208.93 | $229.09 |
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 $1,348.96 | Professional | 50 · Both sides | $512.86 | $870.96 | $1,348.96 |
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 $177.83 | Professional | 55 · Aftercare only | $67.61 | $117.49 | $177.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $478.63 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $288.40 | $478.63 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,513.56 | Facility | None | $512.86 | $794.33 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $1,096.48 | Professional | None | $338.84 | $660.69 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $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 $346.74 Median $602.56 Typical High $3,235.94 | Professional | None | $346.74 | $602.56 | $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 $436.52 Typical High $933.25 | Professional | None | $257.04 | $436.52 | $933.25 |
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 $43.65 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $43.65 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $21.88 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $30.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $21.88 | $30.20 | $33.11 |
Where Minnesota sits
The same service costs 4.2 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 $912UT $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.