How much rates vary
Facilitymedian $219 · 10th to 90th $87 to $1,202Professionalmedian $182 · 10th to 90th $102 to $339
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 $87.10 Median $104.71 Typical High $104.71 | Facility | None | $87.10 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $64.57 Median $77.62 Typical High $77.62 | Facility | 54 · Surgery only | $64.57 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.88 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $12.88 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $60.26 Median $72.44 Typical High $72.44 | Facility | 78 · Unplanned return to OR | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $120.23 | Professional | None | $87.10 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 54 · Surgery only | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $12.88 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $60.26 | $72.44 | $72.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,174.90 Typical High $2,818.38 | Facility | None | $537.03 | $1,174.90 | $2,818.38 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $794.33 Median $1,479.11 Typical High $2,630.27 | Facility | 50 · Both sides | $794.33 | $1,479.11 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | None | $131.83 | $194.98 | $295.12 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | 50 · Both sides | $194.98 | $295.12 | $446.68 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $158.49 Typical High $234.42 | Professional | 54 · Surgery only | $104.71 | $158.49 | $234.42 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $39.81 Typical High $58.88 | Professional | 55 · Aftercare only | $26.92 | $39.81 | $58.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $165.96 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $109.65 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $478.63 | Facility | None | $162.18 | $251.19 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $389.05 | Professional | None | $134.90 | $223.87 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $398.11 | Facility | None | $144.54 | $234.42 | $398.11 |
Health Partners Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $338.84 | Professional | None | $134.90 | $213.80 | $338.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $1,288.25 | Facility | None | $125.89 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $1,047.13 | Professional | None | $107.15 | $181.97 | $1,047.13 |
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 $93.33 Median $151.36 Typical High $323.59 | Professional | None | $93.33 | $151.36 | $323.59 |
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 $42.66 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $42.66 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $17.38 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $8.71 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.71 | $10.47 | $10.47 |
Where Minnesota sits
The same service costs 4.2 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
$182
AK $324FL $77.62
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.