How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,072 to $7,079Professionalmedian $3,467 · 10th to 90th $1,995 to $6,166
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,659.59 | $1,659.59 | $2,089.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $17,782.79 | Facility | None | $3,235.94 | $6,760.83 | $17,782.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,623.41 | Professional | None | $2,511.89 | $3,388.44 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,754.23 Typical High $4,466.84 | Professional | 54 · Surgery only | $2,041.74 | $2,754.23 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,884.03 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,884.03 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $7,079.46 | Facility | None | $2,398.83 | $3,715.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,818.38 | $4,168.69 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,467.37 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $5,888.44 | Professional | None | $2,398.83 | $3,630.78 | $5,888.44 |
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 $2,089.30 Median $3,467.37 Typical High $6,456.54 | Professional | None | $2,089.30 | $3,467.37 | $6,456.54 |
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 $1,905.46 Median $3,467.37 Typical High $6,606.93 | Professional | None | $1,905.46 | $3,467.37 | $6,606.93 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | 53 · Discontinued | $331.13 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $199.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,570.88 Median $5,128.61 Typical High $15,135.61 | Facility | 50 · Both sides | $4,570.88 | $5,128.61 | $15,135.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $5,128.61 Typical High $8,317.64 | Professional | 50 · Both sides | $3,801.89 | $5,128.61 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $676.08 Typical High $1,096.48 | Professional | 55 · Aftercare only | $501.19 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,137.96 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,584.89 | $2,137.96 | $3,467.37 |
Where Minnesota sits
The same service costs 5.8 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· 5th of 51
$3,311
AK $6,457TX $1,122
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.