How much rates vary
Facilitymedian $977 · 10th to 90th $245 to $4,169Professionalmedian $631 · 10th to 90th $331 to $1,230
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 $245.47 Median $398.11 Typical High $398.11 | Facility | None | $245.47 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $186.21 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $186.21 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $37.15 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $37.15 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $275.42 Typical High $275.42 | Facility | 78 · Unplanned return to OR | $173.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $398.11 | Professional | None | $245.47 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $281.84 Typical High $295.12 | Professional | 54 · Surgery only | $186.21 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $263.03 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $173.78 | $263.03 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,288.25 Median $3,801.89 Typical High $8,912.51 | Facility | None | $1,288.25 | $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 $371.54 Median $676.08 Typical High $1,096.48 | Professional | None | $371.54 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $1,023.29 Typical High $1,621.81 | Professional | 50 · Both sides | $562.34 | $1,023.29 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $537.03 Typical High $870.96 | Professional | 54 · Surgery only | $295.12 | $537.03 | $870.96 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $138.04 Typical High $218.78 | Professional | 55 · Aftercare only | $74.13 | $138.04 | $218.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $575.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $316.23 | $575.44 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,819.70 | Facility | None | $616.60 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $1,318.26 | Professional | None | $389.05 | $776.25 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,548.82 | Facility | None | $549.54 | $870.96 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $1,258.93 | Professional | None | $389.05 | $707.95 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $1,621.81 Typical High $4,365.16 | Facility | None | $416.87 | $1,621.81 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $3,548.13 | Professional | None | $416.87 | $741.31 | $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 $309.03 Median $537.03 Typical High $1,148.15 | Professional | None | $309.03 | $537.03 | $1,148.15 |
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 $123.03 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $123.03 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $50.12 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $24.55 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $123.03 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $50.12 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $37.15 Typical High $39.81 | Professional | 56 · Pre-op care only | $24.55 | $37.15 | $39.81 |
Where Minnesota sits
The same service costs 3.9 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· 4th of 51
$646
WY $1,096UT $282
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.