How much rates vary
Facilitymedian $1,995 · 10th to 90th $562 to $10,000Professionalmedian $1,202 · 10th to 90th $562 to $2,188
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,235.94 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,995.26 | Professional | None | $912.01 | $1,258.93 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,000.00 Typical High $1,548.82 | Professional | 54 · Surgery only | $724.44 | $1,000.00 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,047.13 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $776.25 | $1,047.13 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,398.83 | Professional | None | $891.25 | $1,513.56 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,344.23 | Facility | None | $831.76 | $1,348.96 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $2,238.72 | Professional | None | $794.33 | $1,412.54 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,000.00 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $4,168.69 | Professional | None | $602.56 | $1,096.48 | $4,168.69 |
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 $562.34 Median $1,000.00 Typical High $2,041.74 | Professional | None | $562.34 | $1,000.00 | $2,041.74 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $57.54 |
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 $1,380.38 Median $1,862.09 Typical High $3,019.95 | Professional | 50 · Both sides | $1,380.38 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $251.19 Typical High $389.05 | Professional | 55 · Aftercare only | $181.97 | $251.19 | $389.05 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $776.25 Typical High $1,202.26 | Professional | 62 · Two surgeons | $575.44 | $776.25 | $1,202.26 |
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
$1,259
AK $2,344TX $309
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.