How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,514 to $10,715Professionalmedian $3,162 · 10th to 90th $1,514 to $5,888
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,513.56 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $9,120.11 Typical High $16,595.87 | Facility | None | $4,365.16 | $9,120.11 | $16,595.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,162.28 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,905.46 | $2,570.40 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,691.53 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $3,801.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $6,309.57 | Professional | None | $2,344.23 | $3,981.07 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,187.76 | $3,548.13 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,089.30 | $3,715.35 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $4,168.69 Typical High $9,332.54 | Facility | None | $2,344.23 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,951.21 Typical High $11,220.18 | Professional | None | $1,548.82 | $2,951.21 | $11,220.18 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,370.32 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,691.53 Typical High $5,623.41 | Professional | None | $1,380.38 | $2,691.53 | $5,623.41 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $776.25 | Professional | 52 · Reduced service | $741.31 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $154.88 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,548.13 Median $4,786.30 Typical High $7,762.47 | Professional | 50 · Both sides | $3,548.13 | $4,786.30 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $645.65 Typical High $1,047.13 | Professional | 55 · Aftercare only | $467.74 | $645.65 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | 62 · Two surgeons | $1,479.11 | $1,995.26 | $3,235.94 |
Where Minnesota sits
The same service costs 8.5 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
$3,236
AK $6,166TX $724
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.