How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,047 to $7,943Professionalmedian $2,239 · 10th to 90th $1,148 to $3,890
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $10,715.19 Typical High $21,877.62 | Facility | None | $5,370.32 | $10,715.19 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,238.72 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,778.28 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,318.26 | $1,778.28 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,862.09 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,862.09 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $4,073.80 | Professional | None | $1,778.28 | $2,630.27 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,290.87 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $3,981.07 | Professional | None | $1,148.15 | $1,949.84 | $3,981.07 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $4,073.80 | Professional | None | $1,096.48 | $1,949.84 | $4,073.80 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $125.89 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $11,220.18 Median $20,892.96 Typical High $38,018.94 | Facility | 50 · Both sides | $11,220.18 | $20,892.96 | $38,018.94 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,311.31 Typical High $5,128.61 | Professional | 50 · Both sides | $2,454.71 | $3,311.31 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $446.68 Typical High $676.08 | Professional | 55 · Aftercare only | $331.13 | $446.68 | $676.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,380.38 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,023.29 | $1,380.38 | $2,137.96 |
Where Minnesota sits
The same service costs 4.7 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· 6th of 51
$2,089
AK $3,981TX $851
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.