How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,660 to $10,233Professionalmedian $3,467 · 10th to 90th $1,660 to $6,457
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,659.59 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,230.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $14,454.40 | Facility | None | $2,137.96 | $5,888.44 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $5,754.40 | Professional | None | $2,630.27 | $3,548.13 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,818.38 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,089.30 | $2,818.38 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,951.21 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,951.21 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $8,128.31 | Facility | None | $2,691.53 | $4,265.80 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $6,918.31 | Professional | None | $2,570.40 | $4,365.16 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,760.83 | Facility | None | $2,398.83 | $3,890.45 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $4,073.80 Typical High $6,606.93 | Professional | None | $2,290.87 | $4,073.80 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $9,332.54 | Facility | None | $2,818.38 | $4,365.16 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $16,982.44 | Professional | None | $1,819.70 | $3,311.31 | $16,982.44 |
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 $1,737.80 Median $3,019.95 Typical High $6,165.95 | Professional | None | $1,737.80 | $3,019.95 | $6,165.95 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 52 · Reduced service | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 53 · Discontinued | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $173.78 |
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 $3,890.45 Median $5,248.07 Typical High $8,709.64 | Professional | 50 · Both sides | $3,890.45 | $5,248.07 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $707.95 Typical High $1,148.15 | Professional | 55 · Aftercare only | $524.81 | $707.95 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,621.81 Median $2,187.76 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,621.81 | $2,187.76 | $3,630.78 |
Where Minnesota sits
The same service costs 9.3 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
$3,548
AK $6,918TX $741
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.