How much rates vary
Facilitymedian $2,344 · 10th to 90th $832 to $8,511Professionalmedian $1,950 · 10th to 90th $1,000 to $3,715
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None | $831.76 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $616.60 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,786.30 Median $9,332.54 Typical High $19,054.61 | Facility | None | $4,786.30 | $9,332.54 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,862.09 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,479.11 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,096.48 | $1,479.11 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,548.82 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,548.82 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,073.80 | Professional | None | $1,659.59 | $2,570.40 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,445.44 | $2,344.23 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $5,495.41 | Facility | None | $1,380.38 | $2,754.23 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,995.26 Typical High $7,244.36 | Professional | None | $1,047.13 | $1,995.26 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,090.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,862.09 | $3,467.37 |
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 $416.87 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $512.86 | Professional | 52 · Reduced service | $416.87 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $165.96 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $102.33 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $9,772.37 Median $18,620.87 Typical High $33,113.11 | Facility | 50 · Both sides | $9,772.37 | $18,620.87 | $33,113.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,754.23 Typical High $4,897.79 | Professional | 50 · Both sides | $2,041.74 | $2,754.23 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $371.54 Typical High $630.96 | Professional | 55 · Aftercare only | $275.42 | $371.54 | $630.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,148.15 Typical High $1,995.26 | Professional | 62 · Two surgeons | $851.14 | $1,148.15 | $1,995.26 |
Where Minnesota sits
The same service costs 6.3 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· 5th of 51
$2,089
AK $3,715UT $589
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.