How much rates vary
Facilitymedian $2,818 · 10th to 90th $933 to $8,710Professionalmedian $1,995 · 10th to 90th $933 to $3,631
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 78 · Unplanned return to OR | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | None | $933.25 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 54 · Surgery only | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $12,589.25 | Facility | None | $4,265.80 | $7,244.36 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,041.74 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,202.26 | $1,621.81 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,698.24 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,698.24 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $4,570.88 | Facility | None | $1,548.82 | $2,398.83 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,479.11 | $2,511.89 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,380.38 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,318.26 | $2,344.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,659.59 | $3,467.37 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $7,079.46 | Professional | None | $1,023.29 | $1,862.09 | $7,079.46 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $3,467.37 | Professional | None | $954.99 | $1,698.24 | $3,467.37 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $467.74 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $97.72 |
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 $2,238.72 Median $3,019.95 Typical High $5,011.87 | Professional | 50 · Both sides | $2,238.72 | $3,019.95 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $407.38 Typical High $660.69 | Professional | 55 · Aftercare only | $302.00 | $407.38 | $660.69 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,258.93 Typical High $2,041.74 | Professional | 62 · Two surgeons | $933.25 | $1,258.93 | $2,041.74 |
Where Minnesota sits
The same service costs 16.2 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
$2,042
AK $3,890TX $240
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.