How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,122 to $7,762Professionalmedian $3,802 · 10th to 90th $2,042 to $6,607
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,621.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,467.37 Median $7,244.36 Typical High $19,054.61 | Facility | None | $3,467.37 | $7,244.36 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,754.23 | $3,801.89 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $3,019.95 Typical High $4,786.30 | Professional | 54 · Surgery only | $2,238.72 | $3,019.95 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $3,162.28 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $2,344.23 | $3,162.28 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $7,762.47 | Facility | None | $2,570.40 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $6,918.31 | Professional | None | $3,019.95 | $4,466.84 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,715.35 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $6,456.54 | Professional | None | $2,630.27 | $3,890.45 | $6,456.54 |
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 $3,388.44 Typical High $6,918.31 | Professional | None | $2,089.30 | $3,388.44 | $6,918.31 |
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 $1,995.26 Median $3,388.44 Typical High $7,079.46 | Professional | None | $1,995.26 | $3,388.44 | $7,079.46 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | 52 · Reduced service | $891.25 | $891.25 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 53 · Discontinued | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $213.80 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,897.79 Median $5,370.32 Typical High $16,218.10 | Facility | 50 · Both sides | $4,897.79 | $5,370.32 | $16,218.10 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $4,168.69 Median $5,623.41 Typical High $8,912.51 | Professional | 50 · Both sides | $4,168.69 | $5,623.41 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $758.58 Typical High $1,174.90 | Professional | 55 · Aftercare only | $549.54 | $758.58 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,737.80 Median $2,344.23 Typical High $3,715.35 | Professional | 62 · Two surgeons | $1,737.80 | $2,344.23 | $3,715.35 |
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
$3,467
AK $6,918TX $1,202
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.