How much rates vary
Facilitymedian $1,820 · 10th to 90th $631 to $6,026Professionalmedian $1,514 · 10th to 90th $776 to $2,818
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,888.44 Typical High $13,803.84 | Facility | None | $2,754.23 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,445.44 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,148.15 Typical High $1,949.84 | Professional | 54 · Surgery only | $851.14 | $1,148.15 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,202.26 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $891.25 | $1,202.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,258.93 | $1,995.26 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,000.00 | $1,584.89 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,819.70 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $4,786.30 | Facility | None | $1,047.13 | $2,041.74 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,513.56 Typical High $5,128.61 | Professional | None | $831.76 | $1,513.56 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,412.54 Typical High $2,630.27 | Professional | None | $776.25 | $1,412.54 | $2,630.27 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 53 · Discontinued | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $77.62 |
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 $1,584.89 Median $2,137.96 Typical High $3,630.78 | Professional | 50 · Both sides | $1,584.89 | $2,137.96 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $288.40 Typical High $478.63 | Professional | 55 · Aftercare only | $213.80 | $288.40 | $478.63 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $891.25 Typical High $1,513.56 | Professional | 62 · Two surgeons | $660.69 | $891.25 | $1,513.56 |
Where Minnesota sits
The same service costs 6.0 times more in Oklahoma 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
$1,622
OK $2,884UT $479
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.