How much rates vary
Facilitymedian $1,950 · 10th to 90th $550 to $6,918Professionalmedian $1,230 · 10th to 90th $550 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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 78 · Unplanned return to OR | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $794.33 | Professional | None | $549.54 | $549.54 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $512.86 | Professional | 54 · Surgery only | $416.87 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $478.63 |
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 $954.99 Median $1,258.93 Typical High $2,041.74 | Professional | None | $954.99 | $1,258.93 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,000.00 Typical High $1,621.81 | Professional | 54 · Surgery only | $758.58 | $1,000.00 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,047.13 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $794.33 | $1,047.13 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,818.38 | Facility | None | $954.99 | $1,479.11 | $2,818.38 |
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 $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,137.96 | Professional | None | $954.99 | $1,258.93 | $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 $1,348.96 Typical High $4,677.35 | Professional | None | $645.65 | $1,348.96 | $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 $630.96 Median $1,047.13 Typical High $2,187.76 | Professional | None | $630.96 | $1,047.13 | $2,187.76 |
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 $275.42 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
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 $83.18 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $67.61 |
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 $1,862.09 Typical High $3,090.30 | Professional | 50 · Both sides | $1,445.44 | $1,862.09 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $251.19 Typical High $407.38 | Professional | 55 · Aftercare only | $190.55 | $251.19 | $407.38 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $794.33 Typical High $1,258.93 | Professional | 62 · Two surgeons | $602.56 | $794.33 | $1,258.93 |
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 $2,455TX $417
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.