How much rates vary
Facilitymedian $316 · 10th to 90th $126 to $1,175Professionalmedian $275 · 10th to 90th $145 to $513
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 $125.89 Median $154.88 Typical High $154.88 | Facility | None | $125.89 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $95.50 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $19.05 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $109.65 Typical High $109.65 | Facility | 78 · Unplanned return to OR | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $199.53 | Professional | None | $125.89 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $89.13 | $109.65 | $109.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $2,238.72 | Facility | None | $398.11 | $1,071.52 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Professional | None | $194.98 | $288.40 | $446.68 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $234.42 Typical High $354.81 | Professional | 54 · Surgery only | $154.88 | $234.42 | $354.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $57.54 Typical High $87.10 | Professional | 55 · Aftercare only | $38.90 | $57.54 | $87.10 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $245.47 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $162.18 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $724.44 | Facility | None | $239.88 | $380.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $562.34 | Professional | None | $199.53 | $331.13 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $602.56 | Facility | None | $213.80 | $354.81 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $512.86 | Professional | None | $199.53 | $316.23 | $512.86 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $323.59 Typical High $1,202.26 | Facility | None | $128.82 | $323.59 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $1,148.15 | Professional | None | $165.96 | $295.12 | $1,148.15 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $501.19 | Professional | None | $138.04 | $234.42 | $501.19 |
8 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 $63.10 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $12.59 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.59 | $15.49 | $15.49 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,071.52 Typical High $1,995.26 | Facility | 50 · Both sides | $588.84 | $1,071.52 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $436.52 Typical High $660.69 | Professional | 50 · Both sides | $295.12 | $436.52 | $660.69 |
Where Minnesota sits
The same service costs 4.1 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· 4th of 51
$275
AK $468FL $115
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.