How much rates vary
Facilitymedian $2,138 · 10th to 90th $631 to $15,849Professionalmedian $1,413 · 10th to 90th $646 to $2,692
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | 54 · Surgery only | $467.74 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15,848.93 Median $30,902.95 Typical High $50,118.72 | Facility | None | $15,848.93 | $30,902.95 | $50,118.72 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $25,703.96 Median $47,863.01 Typical High $85,113.80 | Facility | 50 · Both sides | $25,703.96 | $47,863.01 | $85,113.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,344.23 | Professional | None | $954.99 | $1,348.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $2,041.74 Typical High $3,467.37 | Professional | 50 · Both sides | $1,445.44 | $2,041.74 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,096.48 Typical High $1,862.09 | Professional | 54 · Surgery only | $758.58 | $1,096.48 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $257.04 Typical High $457.09 | Professional | 55 · Aftercare only | $190.55 | $257.04 | $457.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,148.15 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $794.33 | $1,148.15 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,090.30 | Facility | None | $1,047.13 | $1,621.81 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,862.09 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,630.27 | Facility | None | $933.25 | $1,513.56 | $2,630.27 |
Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,698.24 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,122.02 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $4,786.30 | Professional | None | $758.58 | $1,380.38 | $4,786.30 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,318.26 Typical High $2,454.71 | Professional | None | $691.83 | $1,318.26 | $2,454.71 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 52 · Reduced service | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $64.57 |
Where Minnesota sits
The same service costs 11.7 times more in Oklahoma 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· 8th of 51
$1,549
OK $4,786UT $407
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.