How much rates vary
Facilitymedian $562 · 10th to 90th $129 to $2,951Professionalmedian $389 · 10th to 90th $204 to $741
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 $128.82 Median $208.93 Typical High $208.93 | Facility | None | $128.82 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $97.72 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $97.72 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $19.50 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $147.91 Typical High $147.91 | Facility | 78 · Unplanned return to OR | $91.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $208.93 | Professional | None | $128.82 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $144.54 Typical High $158.49 | Professional | 54 · Surgery only | $97.72 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $28.84 Typical High $31.62 | Professional | 55 · Aftercare only | $19.50 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $134.90 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $91.20 | $134.90 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $5,623.41 | Facility | None | $724.44 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $5,495.41 Typical High $9,772.37 | Facility | 50 · Both sides | $2,951.21 | $5,495.41 | $9,772.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $660.69 | Professional | None | $208.93 | $389.05 | $660.69 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $575.44 Typical High $977.24 | Professional | 50 · Both sides | $316.23 | $575.44 | $977.24 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $309.03 Typical High $524.81 | Professional | 54 · Surgery only | $169.82 | $309.03 | $524.81 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $79.43 Typical High $131.83 | Professional | 55 · Aftercare only | $45.71 | $79.43 | $131.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $323.59 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $177.83 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,047.13 | Facility | None | $346.74 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $912.01 | Professional | None | $288.40 | $501.19 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | None | $309.03 | $501.19 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $851.14 | Professional | None | $251.19 | $446.68 | $851.14 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,023.29 Typical High $3,311.31 | Facility | None | $229.09 | $1,023.29 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $1,202.26 | Professional | None | $251.19 | $537.03 | $1,202.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $724.44 | Professional | None | $165.96 | $354.81 | $724.44 |
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 $64.57 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $64.57 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $25.70 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $12.88 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.50 Typical High $20.89 | Professional | 56 · Pre-op care only | $12.88 | $19.50 | $20.89 |
Where Minnesota sits
The same service costs 3.9 times more in Oklahoma 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· 5th of 51
$407
OK $646KY $166
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.