How much rates vary
Facilitymedian $1,096 · 10th to 90th $282 to $6,026Professionalmedian $794 · 10th to 90th $417 to $1,445
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 $281.84 Median $457.09 Typical High $457.09 | Facility | None | $281.84 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $213.80 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $42.66 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $316.23 Typical High $316.23 | Facility | 78 · Unplanned return to OR | $199.53 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $575.44 | Professional | None | $281.84 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $213.80 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $42.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $316.23 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $199.53 | $316.23 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,715.35 | $6,165.95 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $1,348.96 | Professional | None | $457.09 | $794.33 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $630.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $363.08 | $630.96 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $158.49 Typical High $257.04 | Professional | 55 · Aftercare only | $93.33 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $660.69 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $389.05 | $660.69 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,698.24 | Professional | None | $549.54 | $891.25 | $1,698.24 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,659.59 | Facility | None | $588.84 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $1,584.89 | Professional | None | $512.86 | $831.76 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $2,187.76 Typical High $5,495.41 | Facility | None | $501.19 | $2,187.76 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,995.26 | Professional | None | $602.56 | $1,122.02 | $1,995.26 |
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 $457.09 Median $870.96 Typical High $1,584.89 | Professional | None | $457.09 | $870.96 | $1,584.89 |
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 $141.25 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $141.25 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $56.23 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $28.18 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $141.25 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $56.23 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $28.18 | $45.71 | $45.71 |
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 $691.83 Median $1,174.90 Typical High $1,995.26 | Professional | 50 · Both sides | $691.83 | $1,174.90 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $295.12 Median $489.78 Typical High $812.83 | Professional | 62 · Two surgeons | $295.12 | $489.78 | $812.83 |
Where Minnesota sits
The same service costs 4.1 times more in Wisconsin 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
$832
WI $1,549TX $380
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.