How much rates vary
Facilitymedian $2,042 · 10th to 90th $661 to $10,000Professionalmedian $1,380 · 10th to 90th $661 to $2,570
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 78 · Unplanned return to OR | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $741.31 | Professional | None | $645.65 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 54 · Surgery only | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $11,748.98 Typical High $26,915.35 | Facility | None | $3,630.78 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,445.44 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,148.15 Typical High $1,819.70 | Professional | 54 · Surgery only | $851.14 | $1,148.15 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $288.40 Typical High $457.09 | Professional | 55 · Aftercare only | $213.80 | $288.40 | $457.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,202.26 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $891.25 | $1,202.26 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,778.28 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,691.53 | Facility | None | $977.24 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,630.27 | Professional | None | $933.25 | $1,621.81 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $5,754.40 | Professional | None | $707.95 | $1,318.26 | $5,754.40 |
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 $676.08 Median $1,174.90 Typical High $2,398.83 | Professional | None | $676.08 | $1,174.90 | $2,398.83 |
9 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 $331.13 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 52 · Reduced service | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 53 · Discontinued | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $67.61 |
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 $1,584.89 Median $2,187.76 Typical High $3,548.13 | Professional | 50 · Both sides | $1,584.89 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $912.01 Typical High $1,412.54 | Professional | 62 · Two surgeons | $660.69 | $912.01 | $1,412.54 |
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· 6th of 51
$1,445
AK $2,754TX $339
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.