How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,072 to $7,413Professionalmedian $3,548 · 10th to 90th $1,995 to $6,310
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,737.80 | $1,737.80 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,445.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,388.44 Median $7,079.46 Typical High $18,197.01 | Facility | None | $3,388.44 | $7,079.46 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $5,888.44 | Professional | None | $2,630.27 | $3,548.13 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,884.03 Typical High $4,677.35 | Professional | 54 · Surgery only | $2,089.30 | $2,884.03 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $3,019.95 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $2,187.76 | $3,019.95 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $7,413.10 | Facility | None | $2,511.89 | $3,890.45 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $6,760.83 | Professional | None | $2,884.03 | $4,265.80 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,238.72 | $3,548.13 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $6,165.95 | Professional | None | $2,511.89 | $3,801.89 | $6,165.95 |
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 $3,311.31 Typical High $6,760.83 | Professional | None | $2,089.30 | $3,311.31 | $6,760.83 |
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 $1,949.84 Median $3,311.31 Typical High $6,918.31 | Professional | None | $1,949.84 | $3,311.31 | $6,918.31 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $1,047.13 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 53 · Discontinued | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $208.93 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,786.30 Median $5,370.32 Typical High $15,848.93 | Facility | 50 · Both sides | $4,786.30 | $5,370.32 | $15,848.93 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,981.07 Median $5,370.32 Typical High $8,709.64 | Professional | 50 · Both sides | $3,981.07 | $5,370.32 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $707.95 Typical High $1,148.15 | Professional | 55 · Aftercare only | $524.81 | $707.95 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,659.59 Median $2,238.72 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,659.59 | $2,238.72 | $3,630.78 |
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· 7th of 51
$3,388
AK $6,761TX $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.