How much rates vary
Facilitymedian $2,188 · 10th to 90th $912 to $6,166Professionalmedian $1,995 · 10th to 90th $977 to $3,802
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,122.02 | Professional | None | $912.01 | $912.01 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,623.41 Typical High $10,000.00 | Facility | None | $2,754.23 | $5,623.41 | $10,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,905.46 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,548.82 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,122.02 | $1,548.82 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $380.19 Typical High $645.65 | Professional | 55 · Aftercare only | $281.84 | $380.19 | $645.65 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,621.81 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,621.81 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,691.53 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,715.35 | Facility | None | $1,318.26 | $2,137.96 | $3,715.35 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,398.83 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $4,365.16 | Facility | None | $1,288.25 | $2,041.74 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $7,079.46 | Professional | None | $1,096.48 | $2,041.74 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,344.23 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,047.13 | $1,905.46 | $3,801.89 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | 52 · Reduced service | $457.09 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $104.71 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,073.80 Median $7,413.10 Typical High $13,489.63 | Facility | 50 · Both sides | $4,073.80 | $7,413.10 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,884.03 Typical High $4,897.79 | Professional | 50 · Both sides | $2,137.96 | $2,884.03 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,202.26 Typical High $2,089.30 | Professional | 62 · Two surgeons | $891.25 | $1,202.26 | $2,089.30 |
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· 4th of 51
$2,089
AK $3,715UT $661
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.