How much rates vary
Facilitymedian $2,884 · 10th to 90th $955 to $11,220Professionalmedian $1,995 · 10th to 90th $955 to $3,715
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | None | $954.99 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 54 · Surgery only | $724.44 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,248.07 Median $12,302.69 Typical High $26,915.35 | Facility | None | $5,248.07 | $12,302.69 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,659.59 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,230.27 | $1,659.59 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,737.80 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,584.89 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,570.40 | $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 $1,348.96 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,348.96 | $2,344.23 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $3,467.37 Typical High $9,772.37 | Facility | None | $1,621.81 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,905.46 Typical High $7,079.46 | Professional | None | $1,047.13 | $1,905.46 | $7,079.46 |
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 $977.24 Median $1,698.24 Typical High $3,548.13 | Professional | None | $977.24 | $1,698.24 | $3,548.13 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 52 · Reduced service | $478.63 | $478.63 | $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 $144.54 Median $144.54 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $97.72 |
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 $2,290.87 Median $3,090.30 Typical High $5,128.61 | Professional | 50 · Both sides | $2,290.87 | $3,090.30 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $416.87 Typical High $676.08 | Professional | 55 · Aftercare only | $302.00 | $416.87 | $676.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $954.99 Median $1,288.25 Typical High $2,041.74 | Professional | 62 · Two surgeons | $954.99 | $1,288.25 | $2,041.74 |
Where Minnesota sits
The same service costs 7.9 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
$2,089
AK $3,981TX $501
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.