How much rates vary
Facilitymedian $1,318 · 10th to 90th $661 to $5,129Professionalmedian $1,230 · 10th to 90th $661 to $2,455
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 78 · Unplanned return to OR | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $501.19 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $8,912.51 | Facility | None | $3,090.30 | $4,897.79 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,089.30 | Professional | None | $912.01 | $1,148.15 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $933.25 Typical High $1,659.59 | Professional | 54 · Surgery only | $724.44 | $933.25 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $229.09 Typical High $398.11 | Professional | 55 · Aftercare only | $181.97 | $229.09 | $398.11 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $977.24 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $758.58 | $977.24 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,621.81 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $2,630.27 | Professional | None | $933.25 | $1,584.89 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,570.40 | Facility | None | $912.01 | $1,479.11 | $2,570.40 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,511.89 | Professional | None | $912.01 | $1,445.44 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,047.13 Typical High $2,951.21 | Facility | None | $549.54 | $1,047.13 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $5,495.41 | Professional | None | $691.83 | $1,202.26 | $5,495.41 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,238.72 | Professional | None | $645.65 | $1,122.02 | $2,238.72 |
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 $331.13 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $331.13 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 53 · Discontinued | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $74.13 |
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 50 · Both sides Typical Low $1,380.38 Median $1,737.80 Typical High $3,090.30 | Professional | 50 · Both sides | $1,380.38 | $1,737.80 | $3,090.30 |
Where Minnesota sits
The same service costs 7.6 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
$1,230
AK $2,512UT $331
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.