How much rates vary
Facilitymedian $1,122 · 10th to 90th $263 to $6,918Professionalmedian $631 · 10th to 90th $302 to $1,175
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 78 · Unplanned return to OR | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | None | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | 54 · Surgery only | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $186.21 | $186.21 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $13,803.84 | Facility | None | $4,168.69 | $6,918.31 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $1,023.29 | Professional | None | $436.52 | $588.84 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $467.74 Typical High $831.76 | Professional | 54 · Surgery only | $346.74 | $467.74 | $831.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $489.78 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $363.08 | $489.78 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Facility | None | $467.74 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,318.26 | Professional | None | $524.81 | $831.76 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $1,148.15 | Facility | None | $407.38 | $660.69 | $1,148.15 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,148.15 | Professional | None | $467.74 | $741.31 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,995.26 Typical High $4,786.30 | Facility | None | $446.68 | $1,995.26 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $2,137.96 | Professional | None | $331.13 | $630.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $1,096.48 | Professional | None | $323.59 | $588.84 | $1,096.48 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $32.36 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,481.54 Typical High $21,379.62 | Facility | 50 · Both sides | $6,309.57 | $11,481.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $870.96 Typical High $1,548.82 | Professional | 50 · Both sides | $645.65 | $870.96 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $117.49 Typical High $204.17 | Professional | 55 · Aftercare only | $87.10 | $117.49 | $204.17 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $269.15 Median $363.08 Typical High $660.69 | Professional | 62 · Two surgeons | $269.15 | $363.08 | $660.69 |
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· 9th of 51
$692
OK $1,479UT $245
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.