How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,259 to $11,220Professionalmedian $2,884 · 10th to 90th $1,318 to $5,248
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,258.93 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,760.83 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,570.88 | Professional | None | $1,995.26 | $2,691.53 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,187.76 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,584.89 | $2,187.76 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $537.03 Typical High $891.25 | Professional | 55 · Aftercare only | $398.11 | $537.03 | $891.25 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,290.87 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,290.87 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $6,309.57 | Facility | None | $2,137.96 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $6,025.60 | Professional | None | $2,398.83 | $3,801.89 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,905.46 | $3,019.95 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $5,248.07 | Professional | None | $2,137.96 | $3,467.37 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $9,772.37 | Facility | None | $2,187.76 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $9,549.93 | Professional | None | $1,479.11 | $2,754.23 | $9,549.93 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $4,897.79 | Professional | None | $1,380.38 | $2,630.27 | $4,897.79 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $251.19 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $141.25 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $11,748.98 Median $21,379.62 Typical High $38,904.51 | Facility | 50 · Both sides | $11,748.98 | $21,379.62 | $38,904.51 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $4,073.80 Typical High $6,918.31 | Professional | 50 · Both sides | $3,019.95 | $4,073.80 | $6,918.31 |
Where Minnesota sits
The same service costs 6.2 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· 5th of 51
$3,020
AK $5,248UT $851
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.