How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,122 to $8,511Professionalmedian $4,074 · 10th to 90th $2,291 to $7,244
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,949.84 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $19,498.45 | Facility | None | $3,890.45 | $8,128.31 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $6,606.93 | Professional | None | $3,019.95 | $4,073.80 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $3,235.94 Typical High $5,370.32 | Professional | 54 · Surgery only | $2,398.83 | $3,235.94 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $3,388.44 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $2,511.89 | $3,388.44 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,818.38 | $4,466.84 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $7,585.78 | Professional | None | $3,311.31 | $4,897.79 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,511.89 | $4,073.80 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $7,079.46 | Professional | None | $2,884.03 | $4,265.80 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,548.13 | Facility | None | $758.58 | $1,445.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $7,762.47 | Professional | None | $2,511.89 | $3,981.07 | $7,762.47 |
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 $2,238.72 Median $3,890.45 Typical High $7,943.28 | Professional | None | $2,238.72 | $3,890.45 | $7,943.28 |
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 $977.24 Median $977.24 Typical High $977.24 | Facility | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $239.88 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,495.41 Median $6,025.60 Typical High $18,197.01 | Facility | 50 · Both sides | $5,495.41 | $6,025.60 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $4,466.84 Median $6,165.95 Typical High $10,000.00 | Professional | 50 · Both sides | $4,466.84 | $6,165.95 | $10,000.00 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $812.83 Typical High $1,318.26 | Professional | 55 · Aftercare only | $602.56 | $812.83 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,862.09 Median $2,570.40 Typical High $4,073.80 | Professional | 62 · Two surgeons | $1,862.09 | $2,570.40 | $4,073.80 |
Where Minnesota sits
The same service costs 5.1 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· 6th of 51
$3,890
AK $7,762TX $1,514
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.