How much rates vary
Facilitymedian $1,995 · 10th to 90th $603 to $6,761Professionalmedian $1,230 · 10th to 90th $692 to $2,239
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | None | $602.56 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | 54 · Surgery only | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $5,888.44 Typical High $12,022.64 | Facility | None | $3,162.28 | $5,888.44 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,995.26 | Professional | None | $912.01 | $1,230.27 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $977.24 Typical High $1,584.89 | Professional | 54 · Surgery only | $724.44 | $977.24 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $245.47 Typical High $398.11 | Professional | 55 · Aftercare only | $181.97 | $245.47 | $398.11 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $758.58 | $1,023.29 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Facility | None | $870.96 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,513.56 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,187.76 | Facility | None | $776.25 | $1,258.93 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,137.96 | Professional | None | $870.96 | $1,318.26 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,754.23 Typical High $7,585.78 | Facility | None | $933.25 | $2,754.23 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $2,290.87 | Professional | None | $724.44 | $1,148.15 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $2,398.83 | Professional | None | $676.08 | $1,148.15 | $2,398.83 |
9 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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $72.44 |
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 $1,348.96 Median $1,862.09 Typical High $3,019.95 | Professional | 50 · Both sides | $1,348.96 | $1,862.09 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $776.25 Typical High $1,230.27 | Professional | 62 · Two surgeons | $562.34 | $776.25 | $1,230.27 |
Where Minnesota sits
The same service costs 5.9 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· 11th of 51
$1,349
AK $3,236TX $550
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.