How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,072 to $7,413Professionalmedian $2,570 · 10th to 90th $1,445 to $4,571
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $13,803.84 | Facility | None | $4,168.69 | $7,762.47 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,905.46 | $2,570.40 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,137.96 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,137.96 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,819.70 | $2,818.38 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,089.30 | $3,090.30 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,584.89 | $2,570.40 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,691.53 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,311.31 | Facility | None | $758.58 | $1,445.44 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,513.56 | $2,398.83 | $4,897.79 |
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 $1,412.54 Median $2,398.83 Typical High $5,011.87 | Professional | None | $1,412.54 | $2,398.83 | $5,011.87 |
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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 53 · Discontinued | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $151.36 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,748.98 Typical High $20,892.96 | Facility | 50 · Both sides | $6,309.57 | $11,748.98 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,890.45 Typical High $6,309.57 | Professional | 50 · Both sides | $2,818.38 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $512.86 Typical High $831.76 | Professional | 55 · Aftercare only | $380.19 | $512.86 | $831.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,621.81 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,174.90 | $1,621.81 | $2,570.40 |
Where Minnesota sits
The same service costs 5.4 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
$2,512
AK $4,898TX $912
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.