How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,230 to $11,220Professionalmedian $2,570 · 10th to 90th $1,230 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,230.27 | $1,230.27 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $933.25 | Professional | 54 · Surgery only | $912.01 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $11,481.54 Typical High $22,387.21 | Facility | None | $6,760.83 | $11,481.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,137.96 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,137.96 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,025.60 | Facility | None | $1,995.26 | $3,090.30 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,235.94 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,884.03 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,698.24 | $3,019.95 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $8,709.64 | Facility | None | $1,659.59 | $3,467.37 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $14,791.08 | Professional | None | $1,348.96 | $2,454.71 | $14,791.08 |
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 $1,258.93 Median $2,187.76 Typical High $4,570.88 | Professional | None | $1,258.93 | $2,187.76 | $4,570.88 |
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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | 53 · Discontinued | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $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 $2,818.38 Median $3,890.45 Typical High $6,456.54 | Professional | 50 · Both sides | $2,818.38 | $3,890.45 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $512.86 Typical High $870.96 | Professional | 55 · Aftercare only | $380.19 | $512.86 | $870.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,174.90 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 16.2 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
$2,692
AK $5,012TX $309
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.