How much rates vary
Facilitymedian $2,399 · 10th to 90th $871 to $10,000Professionalmedian $1,820 · 10th to 90th $871 to $3,311
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | None | $870.96 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $616.60 |
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 $1,412.54 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,949.84 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,548.82 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,148.15 | $1,548.82 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,621.81 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,621.81 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,344.23 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,230.27 | $2,187.76 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,548.82 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $6,456.54 | Professional | None | $891.25 | $1,698.24 | $6,456.54 |
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 $851.14 Median $1,513.56 Typical High $3,090.30 | Professional | None | $851.14 | $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 $436.52 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $89.13 |
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 $2,137.96 Median $2,884.03 Typical High $4,466.84 | Professional | 50 · Both sides | $2,137.96 | $2,884.03 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $398.11 Typical High $602.56 | Professional | 55 · Aftercare only | $288.40 | $398.11 | $602.56 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,202.26 Typical High $1,862.09 | Professional | 62 · Two surgeons | $891.25 | $1,202.26 | $1,862.09 |
Where Minnesota sits
The same service costs 8.1 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· 4th of 51
$1,950
AK $3,631TX $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.