How much rates vary
Facilitymedian $2,042 · 10th to 90th $646 to $6,607Professionalmedian $1,549 · 10th to 90th $759 to $2,884
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | None | $645.65 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $6,025.60 Typical High $12,022.64 | Facility | None | $3,162.28 | $6,025.60 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,445.44 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,174.90 Typical High $2,041.74 | Professional | 54 · Surgery only | $851.14 | $1,174.90 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,230.27 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $912.01 | $1,230.27 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,235.94 | Professional | None | $1,288.25 | $2,041.74 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,621.81 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,862.09 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $5,495.41 | Facility | None | $1,096.48 | $2,754.23 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $5,370.32 | Professional | None | $812.83 | $1,548.82 | $5,370.32 |
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 $794.33 Median $1,445.44 Typical High $2,754.23 | Professional | None | $794.33 | $1,445.44 | $2,754.23 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $79.43 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $11,220.18 Typical High $21,379.62 | Facility | 50 · Both sides | $5,888.44 | $11,220.18 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,187.76 Typical High $3,801.89 | Professional | 50 · Both sides | $1,621.81 | $2,187.76 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $288.40 Typical High $501.19 | Professional | 55 · Aftercare only | $213.80 | $288.40 | $501.19 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $912.01 Typical High $1,548.82 | Professional | 62 · Two surgeons | $676.08 | $912.01 | $1,548.82 |
Where Minnesota sits
The same service costs 6.9 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· 4th of 51
$1,698
AK $2,884TX $417
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.