How much rates vary
Facilitymedian $6,166 · 10th to 90th $3,162 to $15,488Professionalmedian $6,607 · 10th to 90th $3,162 to $12,303
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,311.31 | Professional | None | $3,162.28 | $3,162.28 | $3,311.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,344.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $10,471.29 Typical High $28,183.83 | Facility | None | $3,801.89 | $10,471.29 | $28,183.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,897.79 Median $6,606.93 Typical High $10,964.78 | Professional | None | $4,897.79 | $6,606.93 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,981.07 Median $5,370.32 Typical High $8,709.64 | Professional | 54 · Surgery only | $3,981.07 | $5,370.32 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,168.69 Median $5,623.41 Typical High $9,332.54 | Professional | 78 · Unplanned return to OR | $4,168.69 | $5,623.41 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $15,488.17 | Facility | None | $5,128.61 | $7,943.28 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $8,317.64 Typical High $13,182.57 | Professional | None | $4,897.79 | $8,317.64 | $13,182.57 |
Health Partners Setting Facility Modifier None Typical Low $4,570.88 Median $7,413.10 Typical High $12,882.50 | Facility | None | $4,570.88 | $7,413.10 | $12,882.50 |
Health Partners Setting Professional Modifier None Typical Low $4,365.16 Median $7,762.47 Typical High $12,589.25 | Professional | None | $4,365.16 | $7,762.47 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $11,481.54 | Facility | None | $3,981.07 | $5,248.07 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $6,309.57 Typical High $26,915.35 | Professional | None | $3,388.44 | $6,309.57 | $26,915.35 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $12,022.64 | Professional | None | $3,311.31 | $5,623.41 | $12,022.64 |
12 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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 53 · Discontinued | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 56 · Pre-op care only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 53 · Discontinued | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $501.19 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $331.13 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,498.45 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $7,413.10 Median $10,000.00 Typical High $16,595.87 | Professional | 50 · Both sides | $7,413.10 | $10,000.00 | $16,595.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $977.24 Median $1,348.96 Typical High $2,187.76 | Professional | 55 · Aftercare only | $977.24 | $1,348.96 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,090.30 Median $4,168.69 Typical High $6,918.31 | Professional | 62 · Two surgeons | $3,090.30 | $4,168.69 | $6,918.31 |
Where Minnesota sits
The same service costs 20.4 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· 5th of 51
$6,607
AK $13,183TX $646
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.