How much rates vary
Facilitymedian $1,549 · 10th to 90th $646 to $4,677Professionalmedian $1,479 · 10th to 90th $692 to $2,754
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | None | $645.65 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $4,073.80 Typical High $7,244.36 | Facility | None | $1,995.26 | $4,073.80 | $7,244.36 |
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 $1,023.29 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,380.38 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $2,041.74 Typical High $3,548.13 | Professional | 50 · Both sides | $1,513.56 | $2,041.74 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,096.48 Typical High $1,905.46 | Professional | 54 · Surgery only | $812.83 | $1,096.48 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $275.42 Typical High $467.74 | Professional | 55 · Aftercare only | $204.17 | $275.42 | $467.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,148.15 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $851.14 | $1,148.15 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,230.27 | $1,949.84 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,754.23 | Facility | None | $977.24 | $1,548.82 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,778.28 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $3,548.13 | Facility | None | $776.25 | $1,318.26 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $5,011.87 | Professional | None | $794.33 | $1,445.44 | $5,011.87 |
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 $758.58 Median $1,380.38 Typical High $2,570.40 | Professional | None | $758.58 | $1,380.38 | $2,570.40 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $72.44 |
Where Minnesota sits
The same service costs 5.9 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· 4th of 51
$1,514
AK $2,692UT $457
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.