How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,072 to $6,918Professionalmedian $3,388 · 10th to 90th $1,862 to $6,026
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,380.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $6,606.93 Typical High $16,982.44 | Facility | None | $3,090.30 | $6,606.93 | $16,982.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,370.32 | Professional | None | $2,511.89 | $3,388.44 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,754.23 Typical High $4,265.80 | Professional | 54 · Surgery only | $1,995.26 | $2,754.23 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,884.03 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,884.03 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $6,309.57 | Professional | None | $2,754.23 | $4,073.80 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,089.30 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $5,754.40 | Professional | None | $2,398.83 | $3,548.13 | $5,754.40 |
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 $1,949.84 Median $3,090.30 Typical High $6,309.57 | Professional | None | $1,949.84 | $3,090.30 | $6,309.57 |
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 $1,778.28 Median $3,090.30 Typical High $6,456.54 | Professional | None | $1,778.28 | $3,090.30 | $6,456.54 |
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 $812.83 Median $812.83 Typical High $812.83 | Facility | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
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 $162.18 Median $162.18 Typical High $162.18 | Facility | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | 52 · Reduced service | $812.83 | $812.83 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $194.98 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,466.84 Median $4,897.79 Typical High $14,791.08 | Facility | 50 · Both sides | $4,466.84 | $4,897.79 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $5,128.61 Typical High $8,128.31 | Professional | 50 · Both sides | $3,801.89 | $5,128.61 | $8,128.31 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $676.08 Typical High $1,071.52 | Professional | 55 · Aftercare only | $501.19 | $676.08 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,137.96 Typical High $3,311.31 | Professional | 62 · Two surgeons | $1,584.89 | $2,137.96 | $3,311.31 |
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
$3,162
AK $6,166TX $1,175
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.