How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,122 to $8,913Professionalmedian $1,995 · 10th to 90th $1,122 to $3,981
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,122.02 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $7,762.47 Typical High $14,454.40 | Facility | None | $5,011.87 | $7,762.47 | $14,454.40 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $14,125.38 Typical High $25,118.86 | Facility | 50 · Both sides | $7,413.10 | $14,125.38 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,548.82 | $1,995.26 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $2,951.21 Typical High $5,248.07 | Professional | 50 · Both sides | $2,344.23 | $2,951.21 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,584.89 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,258.93 | $1,584.89 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $398.11 Typical High $676.08 | Professional | 55 · Aftercare only | $309.03 | $398.11 | $676.08 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,659.59 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,659.59 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,737.80 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,548.82 | $2,630.27 | $4,466.84 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $4,265.80 | Professional | None | $1,548.82 | $2,454.71 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,862.09 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $7,943.28 | Professional | None | $1,071.52 | $1,862.09 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $3,548.13 | Professional | None | $1,047.13 | $1,737.80 | $3,548.13 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $562.34 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $125.89 |
Where Minnesota sits
The same service costs 7.2 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· 6th of 51
$2,138
AK $4,266UT $589
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.