How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,023 to $9,333Professionalmedian $2,138 · 10th to 90th $1,023 to $3,981
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,096.48 | Professional | None | $1,023.29 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $776.25 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $7,585.78 Typical High $12,589.25 | Facility | None | $4,365.16 | $7,585.78 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,621.81 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,288.25 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,862.09 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,862.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,698.24 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,754.23 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,445.44 | $2,511.89 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,737.80 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $8,511.38 | Professional | None | $1,047.13 | $1,949.84 | $8,511.38 |
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 $1,000.00 Median $1,659.59 Typical High $3,801.89 | Professional | None | $1,000.00 | $1,659.59 | $3,801.89 |
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 $512.86 Median $512.86 Typical High $512.86 | Facility | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 52 · Reduced service | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 53 · Discontinued | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $104.71 |
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 $2,454.71 Median $3,311.31 Typical High $5,370.32 | Professional | 50 · Both sides | $2,454.71 | $3,311.31 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $436.52 Typical High $707.95 | Professional | 55 · Aftercare only | $323.59 | $436.52 | $707.95 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,380.38 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,023.29 | $1,380.38 | $2,187.76 |
Where Minnesota sits
The same service costs 18.2 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
$2,239
AK $4,266TX $234
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.