How much rates vary
Facilitymedian $1,318 · 10th to 90th $372 to $6,918Professionalmedian $832 · 10th to 90th $372 to $1,549
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 78 · Unplanned return to OR | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None | $371.54 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 54 · Surgery only | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $977.24 Median $5,754.40 Typical High $13,489.63 | Facility | None | $977.24 | $5,754.40 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,380.38 | Professional | None | $645.65 | $851.14 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $676.08 Typical High $1,096.48 | Professional | 54 · Surgery only | $524.81 | $676.08 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $707.95 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $549.54 | $707.95 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,584.89 | Professional | None | $588.84 | $933.25 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,445.44 | Professional | None | $645.65 | $870.96 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,818.38 Typical High $8,511.38 | Facility | None | $691.83 | $2,818.38 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $4,677.35 | Professional | None | $426.58 | $912.01 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,332.54 | Facility | None | $1,995.26 | $3,090.30 | $9,332.54 |
United Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,479.11 | Professional | None | $416.87 | $676.08 | $1,479.11 |
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 $186.21 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $44.67 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,079.46 Median $13,182.57 Typical High $23,442.29 | Facility | 50 · Both sides | $7,079.46 | $13,182.57 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,258.93 Typical High $2,041.74 | Professional | 50 · Both sides | $977.24 | $1,258.93 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $173.78 Typical High $275.42 | Professional | 55 · Aftercare only | $128.82 | $173.78 | $275.42 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $537.03 Typical High $870.96 | Professional | 62 · Two surgeons | $407.38 | $537.03 | $870.96 |
Where Minnesota sits
The same service costs 5.6 times more in Alaska than in Utah. 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
$851
AK $1,660UT $295
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.