How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,047 to $6,607Professionalmedian $2,630 · 10th to 90th $1,318 to $5,012
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $977.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $6,760.83 Typical High $13,182.57 | Facility | None | $2,691.53 | $6,760.83 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,365.16 | Professional | None | $1,862.09 | $2,511.89 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $2,041.74 Typical High $3,467.37 | Professional | 54 · Surgery only | $1,479.11 | $2,041.74 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,137.96 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,137.96 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,995.26 | $3,090.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,548.13 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,818.38 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $4,897.79 | Professional | None | $1,995.26 | $3,162.28 | $4,897.79 |
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 $1,445.44 Median $2,691.53 Typical High $9,772.37 | Professional | None | $1,445.44 | $2,691.53 | $9,772.37 |
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 $1,380.38 Median $2,511.89 Typical High $5,011.87 | Professional | None | $1,380.38 | $2,511.89 | $5,011.87 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | 52 · Reduced service | $602.56 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | 53 · Discontinued | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $138.04 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $7,244.36 Typical High $13,489.63 | Facility | 50 · Both sides | $3,801.89 | $7,244.36 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,801.89 Typical High $6,456.54 | Professional | 50 · Both sides | $2,818.38 | $3,801.89 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $501.19 Typical High $851.14 | Professional | 55 · Aftercare only | $371.54 | $501.19 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,584.89 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,174.90 | $1,584.89 | $2,754.23 |
Where Minnesota sits
The same service costs 5.9 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
$2,570
AK $4,898TX $832
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.