How much rates vary
Facilitymedian $427 · 10th to 90th $162 to $4,074Professionalmedian $324 · 10th to 90th $170 to $603
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 $162.18 Median $169.82 Typical High $169.82 | Facility | None | $162.18 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 54 · Surgery only | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $23.99 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $117.49 Typical High $117.49 | Facility | 78 · Unplanned return to OR | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $177.83 | Professional | None | $162.18 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $125.89 Typical High $131.83 | Professional | 54 · Surgery only | $120.23 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $25.70 Typical High $26.30 | Professional | 55 · Aftercare only | $23.99 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $117.49 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $112.20 | $117.49 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $3,715.35 Typical High $8,912.51 | Facility | None | $851.14 | $3,715.35 | $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 $229.09 Median $338.84 Typical High $512.86 | Professional | None | $229.09 | $338.84 | $512.86 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $512.86 Typical High $776.25 | Professional | 50 · Both sides | $346.74 | $512.86 | $776.25 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $269.15 Typical High $416.87 | Professional | 54 · Surgery only | $186.21 | $269.15 | $416.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $67.61 Typical High $100.00 | Professional | 55 · Aftercare only | $48.98 | $67.61 | $100.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $281.84 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $194.98 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $776.25 | Facility | None | $263.03 | $407.38 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $676.08 | Professional | None | $234.42 | $389.05 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $660.69 | Facility | None | $234.42 | $389.05 | $660.69 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $616.60 | Professional | None | $234.42 | $363.08 | $616.60 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $1,621.81 Typical High $4,365.16 | Facility | None | $218.78 | $1,621.81 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $2,187.76 | Professional | None | $177.83 | $316.23 | $2,187.76 |
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 $162.18 Median $275.42 Typical High $562.34 | Professional | None | $162.18 | $275.42 | $562.34 |
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 $79.43 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $79.43 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $32.36 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $17.78 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $17.78 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$339
AK $603FL $132
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.