How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,072 to $8,318Professionalmedian $1,549 · 10th to 90th $871 to $3,890
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,089.30 Median $4,168.69 Typical High $7,585.78 | Facility | None | $2,089.30 | $4,168.69 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,000.00 | Professional | None | $812.83 | $912.01 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $724.44 | $812.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $676.08 | $758.58 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,248.07 | Facility | None | $1,778.28 | $2,754.23 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $4,466.84 | Professional | None | $1,698.24 | $2,884.03 | $4,466.84 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,584.89 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,513.56 | $2,630.27 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,819.70 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $8,128.31 | Professional | None | $1,071.52 | $2,137.96 | $8,128.31 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $3,890.45 | Professional | None | $1,047.13 | $1,862.09 | $3,890.45 |
11 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 $537.03 Median $537.03 Typical High $537.03 | Facility | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 52 · Reduced service | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 53 · Discontinued | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $109.65 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $5,754.40 Typical High $10,964.78 | Facility | 50 · Both sides | $2,951.21 | $5,754.40 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,348.96 Typical High $1,513.56 | Professional | 50 · Both sides | $1,202.26 | $1,348.96 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $162.18 | $199.53 | $199.53 |
Where Minnesota sits
The same service costs 46.8 times more in Alaska than in Hawaii. 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· 11th of 51
$1,862
AK $4,467HI $95.50
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.