How much rates vary
Facilitymedian $1,950 · 10th to 90th $776 to $6,457Professionalmedian $1,698 · 10th to 90th $832 to $3,236
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | None | $776.25 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $5,623.41 Typical High $13,182.57 | Facility | None | $1,862.09 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,621.81 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,288.25 Typical High $2,238.72 | Professional | 54 · Surgery only | $954.99 | $1,288.25 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,348.96 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,348.96 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,445.44 | $2,238.72 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,122.02 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,258.93 | $2,041.74 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $4,786.30 | Facility | None | $1,258.93 | $2,041.74 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,737.80 Typical High $9,772.37 | Professional | None | $933.25 | $1,737.80 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,235.94 | Professional | None | $870.96 | $1,621.81 | $3,235.94 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $389.05 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 53 · Discontinued | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $89.13 |
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 $1,778.28 Median $2,454.71 Typical High $4,168.69 | Professional | 50 · Both sides | $1,778.28 | $2,454.71 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $323.59 Typical High $549.54 | Professional | 55 · Aftercare only | $239.88 | $323.59 | $549.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,023.29 Typical High $1,698.24 | Professional | 62 · Two surgeons | $741.31 | $1,023.29 | $1,698.24 |
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· 6th of 51
$1,778
AK $3,162UT $550
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.