How much rates vary
Facilitymedian $407 · 10th to 90th $135 to $1,445Professionalmedian $407 · 10th to 90th $214 to $759
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 $134.90 Median $213.80 Typical High $213.80 | Facility | None | $134.90 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $102.33 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $102.33 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $20.42 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $151.36 Typical High $151.36 | Facility | 78 · Unplanned return to OR | $95.50 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $218.78 | Professional | None | $134.90 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $147.91 Typical High $162.18 | Professional | 54 · Surgery only | $102.33 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $29.51 Typical High $32.36 | Professional | 55 · Aftercare only | $20.42 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $95.50 | $138.04 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,949.84 | Facility | None | $676.08 | $1,071.52 | $1,949.84 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,023.29 Median $1,819.70 Typical High $3,388.44 | Facility | 50 · Both sides | $1,023.29 | $1,819.70 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $676.08 | Professional | None | $223.87 | $407.38 | $676.08 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $602.56 Typical High $1,023.29 | Professional | 50 · Both sides | $331.13 | $602.56 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $323.59 Typical High $537.03 | Professional | 54 · Surgery only | $177.83 | $323.59 | $537.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $83.18 Typical High $134.90 | Professional | 55 · Aftercare only | $47.86 | $83.18 | $134.90 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $338.84 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $186.21 | $338.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | None | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $954.99 | Professional | None | $309.03 | $512.86 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $891.25 | Facility | None | $323.59 | $512.86 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $870.96 | Professional | None | $263.03 | $467.74 | $870.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,445.44 | Facility | None | $125.89 | $331.13 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $562.34 Typical High $1,258.93 | Professional | None | $257.04 | $562.34 | $1,258.93 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,862.09 | Facility | None | $125.89 | $426.58 | $1,862.09 |
United Setting Professional Modifier None Typical Low $177.83 Median $380.19 Typical High $758.58 | Professional | None | $177.83 | $380.19 | $758.58 |
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 $67.61 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $67.61 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $26.92 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $13.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $100.00 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $19.95 Typical High $21.38 | Professional | 56 · Pre-op care only | $13.49 | $19.95 | $21.38 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin 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
$407
WI $575KY $162
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.