How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,000 to $10,965Professionalmedian $2,089 · 10th to 90th $1,175 to $3,715
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,000.00 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 54 · Surgery only | $758.58 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,677.35 Median $10,471.29 Typical High $20,417.38 | Facility | None | $4,677.35 | $10,471.29 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,548.82 | $2,089.30 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,659.59 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,230.27 | $1,659.59 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,737.80 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $4,365.16 | Facility | None | $1,445.44 | $2,290.87 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,698.24 | $2,511.89 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,187.76 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $4,365.16 Typical High $9,332.54 | Facility | None | $1,548.82 | $4,365.16 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,258.93 | $2,041.74 | $3,890.45 |
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 $1,148.15 Median $2,041.74 Typical High $4,073.80 | Professional | None | $1,148.15 | $2,041.74 | $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 $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 52 · Reduced service | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $123.03 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,715.19 Median $19,952.62 Typical High $36,307.81 | Facility | 50 · Both sides | $10,715.19 | $19,952.62 | $36,307.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $3,090.30 Typical High $5,128.61 | Professional | 50 · Both sides | $2,290.87 | $3,090.30 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $416.87 Typical High $676.08 | Professional | 55 · Aftercare only | $309.03 | $416.87 | $676.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $954.99 Median $1,288.25 Typical High $2,137.96 | Professional | 62 · Two surgeons | $954.99 | $1,288.25 | $2,137.96 |
Where Minnesota sits
The same service costs 5.0 times more in Wisconsin 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· 10th of 51
$2,291
WI $4,365TX $871
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.