How much rates vary
Facilitymedian $2,291 · 10th to 90th $851 to $7,762Professionalmedian $1,778 · 10th to 90th $851 to $3,236
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | 54 · Surgery only | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $12,302.69 | Facility | None | $4,265.80 | $6,760.83 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,819.70 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,445.44 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,071.52 | $1,445.44 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,513.56 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,513.56 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,380.38 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,318.26 | $2,238.72 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,995.26 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,174.90 | $2,089.30 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,479.11 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,659.59 Typical High $6,309.57 | Professional | None | $912.01 | $1,659.59 | $6,309.57 |
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 $870.96 Median $1,513.56 Typical High $3,090.30 | Professional | None | $870.96 | $1,513.56 | $3,090.30 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $87.10 |
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 $1,995.26 Median $2,754.23 Typical High $4,466.84 | Professional | 50 · Both sides | $1,995.26 | $2,754.23 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | 55 · Aftercare only | $269.15 | $363.08 | $588.84 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,148.15 Typical High $1,819.70 | Professional | 62 · Two surgeons | $831.76 | $1,148.15 | $1,819.70 |
Where Minnesota sits
The same service costs 7.9 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· 6th of 51
$1,862
AK $3,467TX $437
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.