How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,047 to $5,623Professionalmedian $2,754 · 10th to 90th $1,479 to $4,898
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,318.26 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,248.07 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,754.23 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,238.72 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,659.59 | $2,238.72 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,344.23 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,344.23 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,238.72 | $3,311.31 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,698.24 | $2,754.23 | $4,786.30 |
Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,884.03 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $5,011.87 | Professional | None | $1,548.82 | $2,511.89 | $5,011.87 |
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 $1,445.44 Median $2,511.89 Typical High $5,128.61 | Professional | None | $1,445.44 | $2,511.89 | $5,128.61 |
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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | 52 · Reduced service | $660.69 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | 53 · Discontinued | $263.03 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $158.49 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,548.13 Median $3,981.07 Typical High $12,022.64 | Facility | 50 · Both sides | $3,548.13 | $3,981.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $4,168.69 Typical High $6,456.54 | Professional | 50 · Both sides | $3,090.30 | $4,168.69 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $562.34 Typical High $851.14 | Professional | 55 · Aftercare only | $407.38 | $562.34 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,737.80 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,288.25 | $1,737.80 | $2,691.53 |
Where Minnesota sits
The same service costs 4.8 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
$2,570
AK $5,012TX $1,047
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.