How much rates vary
Facilitymedian $2,089 · 10th to 90th $708 to $7,079Professionalmedian $1,479 · 10th to 90th $708 to $2,754
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | None | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,801.89 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,548.82 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,230.27 Typical High $1,949.84 | Professional | 54 · Surgery only | $912.01 | $1,230.27 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $954.99 | $1,288.25 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,905.46 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,737.80 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,230.27 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $5,754.40 | Professional | None | $758.58 | $1,380.38 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,570.40 | Professional | None | $724.44 | $1,258.93 | $2,570.40 |
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 $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $72.44 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,290.87 Typical High $3,801.89 | Professional | 50 · Both sides | $1,698.24 | $2,290.87 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $309.03 Typical High $489.78 | Professional | 55 · Aftercare only | $229.09 | $309.03 | $489.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $954.99 Typical High $1,513.56 | Professional | 62 · Two surgeons | $707.95 | $954.99 | $1,513.56 |
Where Minnesota sits
The same service costs 8.7 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
$1,549
AK $2,951TX $339
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.