How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,951 to $15,488Professionalmedian $7,762 · 10th to 90th $3,715 to $14,454
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | 54 · Surgery only | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | 78 · Unplanned return to OR | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,801.89 | Professional | None | $3,715.35 | $3,715.35 | $3,801.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,754.23 | $2,754.23 | $2,884.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,570.40 | $2,570.40 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,888.44 Typical High $30,902.95 | Facility | None | $2,454.71 | $5,888.44 | $30,902.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,888.44 Median $7,943.28 Typical High $12,882.50 | Professional | None | $5,888.44 | $7,943.28 | $12,882.50 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $4,677.35 Median $6,309.57 Typical High $10,232.93 | Professional | 54 · Surgery only | $4,677.35 | $6,309.57 | $10,232.93 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,897.79 Median $6,606.93 Typical High $10,715.19 | Professional | 78 · Unplanned return to OR | $4,897.79 | $6,606.93 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $9,332.54 Typical High $17,782.79 | Facility | None | $6,025.60 | $9,332.54 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $5,754.40 Median $9,772.37 Typical High $15,488.17 | Professional | None | $5,754.40 | $9,772.37 | $15,488.17 |
Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $8,709.64 Typical High $15,135.61 | Facility | None | $5,370.32 | $8,709.64 | $15,135.61 |
Health Partners Setting Professional Modifier None Typical Low $5,128.61 Median $9,120.11 Typical High $14,454.40 | Professional | None | $5,128.61 | $9,120.11 | $14,454.40 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $8,709.64 | Facility | None | $2,818.38 | $4,168.69 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $6,918.31 Typical High $27,542.29 | Professional | None | $3,890.45 | $6,918.31 | $27,542.29 |
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 $3,630.78 Median $6,165.95 Typical High $13,803.84 | Professional | None | $3,630.78 | $6,165.95 | $13,803.84 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | 53 · Discontinued | $741.31 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 56 · Pre-op care only | $371.54 | $371.54 | $380.19 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,964.78 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $8,709.64 Median $11,748.98 Typical High $19,054.61 | Professional | 50 · Both sides | $8,709.64 | $11,748.98 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $1,174.90 Median $1,584.89 Typical High $2,570.40 | Professional | 55 · Aftercare only | $1,174.90 | $1,584.89 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $3,630.78 Median $4,897.79 Typical High $7,943.28 | Professional | 62 · Two surgeons | $3,630.78 | $4,897.79 | $7,943.28 |
Where Minnesota sits
The same service costs 20.4 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
$7,244
AK $15,488TX $759
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.