How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,047 to $6,310Professionalmedian $2,455 · 10th to 90th $1,230 to $4,677
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | None | $1,122.02 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $6,606.93 Typical High $12,302.69 | Facility | None | $2,754.23 | $6,606.93 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,344.23 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,862.09 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,380.38 | $1,862.09 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,949.84 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,949.84 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,818.38 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,311.31 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,951.21 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,511.89 Typical High $8,511.38 | Professional | None | $1,348.96 | $2,511.89 | $8,511.38 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,344.23 | $4,677.35 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $223.87 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $128.82 |
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 $2,570.40 Median $3,548.13 Typical High $6,025.60 | Professional | 50 · Both sides | $2,570.40 | $3,548.13 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $467.74 Typical High $794.33 | Professional | 55 · Aftercare only | $346.74 | $467.74 | $794.33 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,479.11 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,071.52 | $1,479.11 | $2,570.40 |
Where Minnesota sits
The same service costs 5.8 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· 5th of 51
$2,455
AK $4,571UT $794
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.