How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,202 to $9,772Professionalmedian $2,512 · 10th to 90th $1,202 to $4,571
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $14,454.40 | Facility | None | $4,365.16 | $7,943.28 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,905.46 | $2,570.40 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,041.74 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,513.56 | $2,041.74 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,187.76 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,187.76 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,949.84 | $3,019.95 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $5,011.87 | Professional | None | $1,862.09 | $3,162.28 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $4,786.30 | Professional | None | $1,659.59 | $2,951.21 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,168.69 Typical High $9,332.54 | Facility | None | $2,041.74 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,398.83 Typical High $10,715.19 | Professional | None | $1,318.26 | $2,398.83 | $10,715.19 |
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 $1,230.27 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,230.27 | $2,137.96 | $4,466.84 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $239.88 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $123.03 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $22,387.21 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,890.45 Typical High $6,309.57 | Professional | 50 · Both sides | $2,884.03 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $512.86 Typical High $831.76 | Professional | 55 · Aftercare only | $380.19 | $512.86 | $831.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,621.81 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,202.26 | $1,621.81 | $2,570.40 |
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
$2,630
AK $5,012TX $575
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.