How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,047 to $6,310Professionalmedian $3,020 · 10th to 90th $1,698 to $5,370
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,230.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,818.38 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,818.38 | $6,025.60 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,897.79 | Professional | None | $2,238.72 | $3,019.95 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,398.83 Typical High $3,890.45 | Professional | 54 · Surgery only | $1,778.28 | $2,398.83 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,511.89 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,511.89 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,309.57 | Facility | None | $2,089.30 | $3,235.94 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,454.71 | $3,630.78 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,019.95 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,137.96 | $3,162.28 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,623.41 | Professional | None | $1,862.09 | $2,951.21 | $5,623.41 |
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 $1,698.24 Median $3,090.30 Typical High $5,888.44 | Professional | None | $1,698.24 | $3,090.30 | $5,888.44 |
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 $724.44 Median $724.44 Typical High $724.44 | Facility | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | 52 · Reduced service | $724.44 | $724.44 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | 53 · Discontinued | $288.40 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $173.78 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,073.80 Median $4,466.84 Typical High $13,489.63 | Facility | 50 · Both sides | $4,073.80 | $4,466.84 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,466.84 Typical High $7,413.10 | Professional | 50 · Both sides | $3,311.31 | $4,466.84 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $602.56 Typical High $977.24 | Professional | 55 · Aftercare only | $446.68 | $602.56 | $977.24 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,862.09 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,380.38 | $1,862.09 | $3,019.95 |
Where Minnesota sits
The same service costs 5.2 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· 7th of 51
$2,951
AK $5,623TX $1,072
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.