How much rates vary
Facilitymedian $2,188 · 10th to 90th $794 to $10,000Professionalmedian $1,660 · 10th to 90th $794 to $3,090
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | None | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 54 · Surgery only | $602.56 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $11,748.98 Typical High $26,915.35 | Facility | None | $4,265.80 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,258.93 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,380.38 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,023.29 | $1,380.38 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,445.44 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,445.44 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,041.74 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,258.93 | $2,137.96 | $3,311.31 |
Health Partners Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,148.15 | $1,862.09 | $3,235.94 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,949.84 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,380.38 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Professional | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,884.03 | Professional | None | $812.83 | $1,412.54 | $2,884.03 |
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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $81.28 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,570.40 Typical High $4,265.80 | Professional | 50 · Both sides | $1,905.46 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $346.74 Typical High $549.54 | Professional | 55 · Aftercare only | $257.04 | $346.74 | $549.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,071.52 Typical High $1,698.24 | Professional | 62 · Two surgeons | $794.33 | $1,071.52 | $1,698.24 |
Where Minnesota sits
The same service costs 7.4 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· 6th of 51
$1,738
AK $3,311TX $447
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.