How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,413 to $9,333Professionalmedian $3,020 · 10th to 90th $1,413 to $5,495
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,412.54 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $12,589.25 | Facility | None | $2,137.96 | $5,888.44 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $5,011.87 | Professional | None | $2,238.72 | $3,019.95 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,454.71 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,819.70 | $2,454.71 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,570.40 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $6,025.60 | Professional | None | $2,238.72 | $3,801.89 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,089.30 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,548.13 Typical High $5,623.41 | Professional | None | $1,995.26 | $3,548.13 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $4,168.69 Typical High $9,332.54 | Facility | None | $2,398.83 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $13,489.63 | Professional | None | $1,584.89 | $2,884.03 | $13,489.63 |
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 $1,479.11 Median $2,630.27 Typical High $5,370.32 | Professional | None | $1,479.11 | $2,630.27 | $5,370.32 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | 52 · Reduced service | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $151.36 |
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 $3,388.44 Median $4,570.88 Typical High $7,413.10 | Professional | 50 · Both sides | $3,388.44 | $4,570.88 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $616.60 Typical High $1,000.00 | Professional | 55 · Aftercare only | $446.68 | $616.60 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,905.46 Typical High $3,090.30 | Professional | 62 · Two surgeons | $1,412.54 | $1,905.46 | $3,090.30 |
Where Minnesota sits
The same service costs 8.7 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
$3,020
AK $5,888TX $676
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.