How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,072 to $7,244Professionalmedian $3,162 · 10th to 90th $1,549 to $6,026
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $7,244.36 Typical High $14,791.08 | Facility | None | $2,754.23 | $7,244.36 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $5,128.61 | Professional | None | $2,187.76 | $2,951.21 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,398.83 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,778.28 | $2,398.83 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,511.89 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,511.89 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $6,606.93 | Professional | None | $2,691.53 | $4,168.69 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,089.30 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,801.89 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $10,715.19 | Professional | None | $1,737.80 | $3,235.94 | $10,715.19 |
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 $1,659.59 Median $3,019.95 Typical High $6,025.60 | Professional | None | $1,659.59 | $3,019.95 | $6,025.60 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | 52 · Reduced service | $707.95 | $707.95 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 53 · Discontinued | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $165.96 |
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 $3,311.31 Median $4,466.84 Typical High $7,762.47 | Professional | 50 · Both sides | $3,311.31 | $4,466.84 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $602.56 Typical High $1,023.29 | Professional | 55 · Aftercare only | $436.52 | $602.56 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,862.09 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,380.38 | $1,862.09 | $3,162.28 |
Where Minnesota sits
The same service costs 5.9 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· 6th of 51
$3,020
AK $5,888UT $1,000
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.