How much rates vary
Facilitymedian $2,818 · 10th to 90th $832 to $11,220Professionalmedian $1,738 · 10th to 90th $832 to $3,162
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | 54 · Surgery only | $616.60 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,466.84 Median $11,748.98 Typical High $26,915.35 | Facility | None | $4,466.84 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,778.28 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,445.44 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,071.52 | $1,445.44 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,513.56 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,187.76 | $3,467.37 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,202.26 | $1,949.84 | $3,388.44 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,148.15 | $2,041.74 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,412.54 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,621.81 Typical High $6,165.95 | Professional | None | $891.25 | $1,621.81 | $6,165.95 |
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 $831.76 Median $1,479.11 Typical High $3,019.95 | Professional | None | $831.76 | $1,479.11 | $3,019.95 |
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 $416.87 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
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 $83.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $85.11 |
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 $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | 50 · Both sides | $1,995.26 | $2,691.53 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $363.08 Typical High $575.44 | Professional | 55 · Aftercare only | $263.03 | $363.08 | $575.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,122.02 Typical High $1,778.28 | Professional | 62 · Two surgeons | $831.76 | $1,122.02 | $1,778.28 |
Where Minnesota sits
The same service costs 7.6 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
$1,820
AK $3,388TX $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.