How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,072 to $6,457Professionalmedian $3,162 · 10th to 90th $1,698 to $5,495
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,513.56 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,884.03 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,884.03 | $6,025.60 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,011.87 | Professional | None | $2,344.23 | $3,162.28 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,511.89 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,862.09 | $2,511.89 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,630.27 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,630.27 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,456.54 | Facility | None | $2,187.76 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,511.89 | $3,801.89 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,090.30 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,311.31 | $5,370.32 |
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 $1,778.28 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,778.28 | $2,818.38 | $5,754.40 |
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 $1,659.59 Median $2,818.38 Typical High $5,888.44 | Professional | None | $1,659.59 | $2,818.38 | $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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 52 · Reduced service | $758.58 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 53 · Discontinued | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $181.97 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,073.80 Median $4,570.88 Typical High $13,489.63 | Facility | 50 · Both sides | $4,073.80 | $4,570.88 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $4,786.30 Typical High $7,413.10 | Professional | 50 · Both sides | $3,467.37 | $4,786.30 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $630.96 Typical High $977.24 | Professional | 55 · Aftercare only | $467.74 | $630.96 | $977.24 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,995.26 Typical High $3,090.30 | Professional | 62 · Two surgeons | $1,445.44 | $1,995.26 | $3,090.30 |
Where Minnesota sits
The same service costs 5.6 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
$2,951
AK $5,754TX $1,023
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.