How much rates vary
Facilitymedian $1,862 · 10th to 90th $933 to $7,079Professionalmedian $2,042 · 10th to 90th $1,000 to $3,890
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,244.36 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,244.36 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,311.31 | Professional | None | $1,445.44 | $1,949.84 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,548.82 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,148.15 | $1,548.82 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,621.81 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,621.81 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $4,570.88 | Facility | None | $1,513.56 | $2,344.23 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,754.23 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,454.71 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,019.95 | Facility | None | $758.58 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $7,079.46 | Professional | None | $1,148.15 | $2,089.30 | $7,079.46 |
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 $1,071.52 Median $1,949.84 Typical High $3,890.45 | Professional | None | $1,071.52 | $1,949.84 | $3,890.45 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
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 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $107.15 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,918.31 Median $12,882.50 Typical High $22,908.68 | Facility | 50 · Both sides | $6,918.31 | $12,882.50 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,951.21 Typical High $5,011.87 | Professional | 50 · Both sides | $2,137.96 | $2,951.21 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $389.05 Typical High $660.69 | Professional | 55 · Aftercare only | $288.40 | $389.05 | $660.69 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,230.27 Typical High $2,041.74 | Professional | 62 · Two surgeons | $891.25 | $1,230.27 | $2,041.74 |
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· 5th of 51
$2,042
AK $3,802TX $575
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.