How much rates vary
Facilitymedian $1,950 · 10th to 90th $562 to $6,918Professionalmedian $1,230 · 10th to 90th $562 to $2,344
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 54 · Surgery only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $5,754.40 Typical High $13,489.63 | Facility | None | $1,445.44 | $5,754.40 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,089.30 | Professional | None | $977.24 | $1,258.93 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,023.29 Typical High $1,659.59 | Professional | 54 · Surgery only | $776.25 | $1,023.29 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,071.52 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $812.83 | $1,071.52 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $2,884.03 | Facility | None | $977.24 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,344.23 | Professional | None | $870.96 | $1,380.38 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,398.83 | Facility | None | $870.96 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,137.96 | Professional | None | $977.24 | $1,288.25 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,023.29 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,380.38 Typical High $5,128.61 | Professional | None | $645.65 | $1,380.38 | $5,128.61 |
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 $616.60 Median $1,000.00 Typical High $2,238.72 | Professional | None | $616.60 | $1,000.00 | $2,238.72 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $72.44 |
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 $1,445.44 Median $1,905.46 Typical High $3,090.30 | Professional | 50 · Both sides | $1,445.44 | $1,905.46 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $257.04 Typical High $416.87 | Professional | 55 · Aftercare only | $194.98 | $257.04 | $416.87 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $794.33 Typical High $1,288.25 | Professional | 62 · Two surgeons | $602.56 | $794.33 | $1,288.25 |
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· 7th of 51
$1,259
AK $2,512TX $427
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.