How much rates vary
Facilitymedian $490 · 10th to 90th $123 to $1,738Professionalmedian $363 · 10th to 90th $182 to $661
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 $123.03 Median $181.97 Typical High $1,258.93 | Facility | None | $123.03 | $181.97 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $93.33 Median $138.04 Typical High $138.04 | Facility | 54 · Surgery only | $93.33 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $27.54 Typical High $27.54 | Facility | 55 · Aftercare only | $18.62 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $128.82 Typical High $128.82 | Facility | 78 · Unplanned return to OR | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $223.87 | Professional | None | $123.03 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $128.82 Typical High $138.04 | Professional | 54 · Surgery only | $93.33 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $18.62 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $120.23 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $87.10 | $120.23 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $1,148.15 Typical High $2,691.53 | Facility | None | $131.83 | $1,148.15 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,412.54 Median $2,630.27 Typical High $4,677.35 | Facility | 50 · Both sides | $1,412.54 | $2,630.27 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $588.84 | Professional | None | $204.17 | $363.08 | $588.84 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $309.03 Median $549.54 Typical High $870.96 | Professional | 50 · Both sides | $309.03 | $549.54 | $870.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $295.12 Typical High $467.74 | Professional | 54 · Surgery only | $162.18 | $295.12 | $467.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $74.13 Typical High $123.03 | Professional | 55 · Aftercare only | $44.67 | $74.13 | $123.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $309.03 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $169.82 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Facility | None | $309.03 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $794.33 | Professional | None | $275.42 | $457.09 | $794.33 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $776.25 | Facility | None | $275.42 | $446.68 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $741.31 | Professional | None | $239.88 | $416.87 | $741.31 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $645.65 Typical High $2,344.23 | Facility | None | $218.78 | $645.65 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $489.78 Typical High $1,096.48 | Professional | None | $223.87 | $489.78 | $1,096.48 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $154.88 Median $331.13 Typical High $660.69 | Professional | None | $154.88 | $331.13 | $660.69 |
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 $61.66 Median $91.20 Typical High $91.20 | Facility | 52 · Reduced service | $61.66 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $25.12 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $12.30 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $61.66 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $25.12 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $16.98 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.30 | $16.98 | $18.62 |
Where Minnesota sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 3rd of 51
$380
AK $513KY $126
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.