How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,380 to $7,586Professionalmedian $3,020 · 10th to 90th $1,479 to $5,754
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $7,244.36 Typical High $14,454.40 | Facility | None | $2,754.23 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,089.30 | $2,884.03 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,290.87 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,698.24 | $2,290.87 | $3,981.07 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,398.83 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,398.83 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $6,309.57 | Professional | None | $2,570.40 | $3,981.07 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,630.78 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,995.26 | $2,818.38 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,090.30 Typical High $12,302.69 | Professional | None | $1,659.59 | $3,090.30 | $12,302.69 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,090.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $5,754.40 | Professional | None | $1,584.89 | $2,884.03 | $5,754.40 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 52 · Reduced service | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 53 · Discontinued | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $158.49 |
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 $3,162.28 Median $4,265.80 Typical High $7,413.10 | Professional | 50 · Both sides | $3,162.28 | $4,265.80 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $575.44 Typical High $977.24 | Professional | 55 · Aftercare only | $426.58 | $575.44 | $977.24 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,778.28 Typical High $3,019.95 | Professional | 62 · Two surgeons | $1,318.26 | $1,778.28 | $3,019.95 |
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· 7th of 51
$3,020
AK $5,623UT $977
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.