How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,318 to $11,749Professionalmedian $2,754 · 10th to 90th $1,318 to $5,129
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 78 · Unplanned return to OR | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,318.26 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,244.36 Median $13,489.63 Typical High $27,542.29 | Facility | None | $7,244.36 | $13,489.63 | $27,542.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,818.38 | $4,677.35 |
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 $3,890.45 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $6,456.54 | Facility | None | $2,137.96 | $3,311.31 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,041.74 | $3,467.37 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $5,370.32 | Facility | None | $1,905.46 | $3,090.30 | $5,370.32 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $5,248.07 | Professional | None | $1,819.70 | $3,235.94 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,995.26 | $3,467.37 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $9,772.37 | Professional | None | $1,348.96 | $2,630.27 | $9,772.37 |
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 $1,230.27 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,230.27 | $2,398.83 | $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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | 52 · Reduced service | $660.69 | $660.69 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 53 · Discontinued | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $134.90 |
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 $3,090.30 Median $4,265.80 Typical High $7,079.46 | Professional | 50 · Both sides | $3,090.30 | $4,265.80 | $7,079.46 |
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 $1,778.28 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,288.25 | $1,778.28 | $2,818.38 |
Where Minnesota sits
The same service costs 8.9 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
$2,818
AK $5,495TX $617
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.