How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,023 to $6,166Professionalmedian $2,344 · 10th to 90th $1,148 to $4,266
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $6,309.57 Typical High $11,481.54 | Facility | None | $2,754.23 | $6,309.57 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,344.23 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,380.38 | $1,905.46 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,995.26 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,698.24 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $4,786.30 | Professional | None | $1,905.46 | $3,019.95 | $4,786.30 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners 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 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,090.30 | Facility | None | $758.58 | $1,412.54 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $7,762.47 | Professional | None | $1,258.93 | $2,344.23 | $7,762.47 |
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 $1,174.90 Median $2,137.96 Typical High $4,265.80 | Professional | None | $1,174.90 | $2,137.96 | $4,265.80 |
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 $512.86 Median $512.86 Typical High $512.86 | Facility | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | 52 · Reduced service | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 53 · Discontinued | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $123.03 |
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 $2,630.27 Median $3,548.13 Typical High $5,888.44 | Professional | 50 · Both sides | $2,630.27 | $3,548.13 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $467.74 Typical High $758.58 | Professional | 55 · Aftercare only | $346.74 | $467.74 | $758.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,479.11 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,096.48 | $1,479.11 | $2,344.23 |
Where Minnesota sits
The same service costs 6.6 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· 4th of 51
$2,344
AK $4,365TX $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.