How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,122 to $11,220Professionalmedian $2,512 · 10th to 90th $1,202 to $4,786
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,309.57 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,737.80 | $2,344.23 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,862.09 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,380.38 | $1,862.09 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $467.74 Typical High $812.83 | Professional | 55 · Aftercare only | $346.74 | $467.74 | $812.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,949.84 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,949.84 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,370.32 | Professional | None | $2,137.96 | $3,388.44 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,677.35 | Facility | None | $1,659.59 | $2,691.53 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,019.95 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,949.84 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $9,549.93 | Professional | None | $1,318.26 | $2,511.89 | $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 $1,288.25 Median $2,398.83 Typical High $4,466.84 | Professional | None | $1,288.25 | $2,398.83 | $4,466.84 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $562.34 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $125.89 |
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 $2,570.40 Median $3,548.13 Typical High $6,165.95 | Professional | 50 · Both sides | $2,570.40 | $3,548.13 | $6,165.95 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Texas. 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
$2,754
AK $4,677TX $692
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.