How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $11,220Professionalmedian $2,818 · 10th to 90th $1,349 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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $22,387.21 | Facility | None | $7,585.78 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,818.38 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,238.72 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,659.59 | $2,238.72 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,344.23 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,344.23 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,606.93 | Facility | None | $2,187.76 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $5,623.41 | Professional | None | $2,089.30 | $3,548.13 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $5,370.32 | Professional | None | $1,862.09 | $3,311.31 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,862.09 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $10,964.78 | Professional | None | $1,513.56 | $2,754.23 | $10,964.78 |
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 $2,454.71 Typical High $4,897.79 | Professional | None | $1,380.38 | $2,454.71 | $4,897.79 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | 52 · Reduced service | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | 53 · Discontinued | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $138.04 |
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 $3,090.30 Median $4,168.69 Typical High $6,918.31 | Professional | 50 · Both sides | $3,090.30 | $4,168.69 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $562.34 Typical High $912.01 | Professional | 55 · Aftercare only | $416.87 | $562.34 | $912.01 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,288.25 | $1,737.80 | $2,818.38 |
Where Minnesota sits
The same service costs 18.6 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· 6th of 51
$2,818
AK $5,370TX $288
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.