How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,122 to $9,772Professionalmedian $4,467 · 10th to 90th $2,042 to $7,762
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,819.70 | $1,819.70 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,445.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,220.18 Typical High $22,387.21 | Facility | None | $4,365.16 | $11,220.18 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $7,244.36 | Professional | None | $3,311.31 | $4,466.84 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $3,630.78 Typical High $5,754.40 | Professional | 54 · Surgery only | $2,630.27 | $3,630.78 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $3,801.89 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $2,818.38 | $3,801.89 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,019.95 | $4,677.35 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $8,511.38 | Professional | None | $3,467.37 | $5,370.32 | $8,511.38 |
Health Partners Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,691.53 | $4,365.16 | $7,585.78 |
Health Partners Setting Professional Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $7,413.10 | Professional | None | $3,019.95 | $4,897.79 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,630.78 | Facility | None | $758.58 | $1,445.44 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,365.16 Typical High $14,125.38 | Professional | None | $2,344.23 | $4,365.16 | $14,125.38 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,890.45 Typical High $8,128.31 | Professional | None | $2,137.96 | $3,890.45 | $8,128.31 |
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 $912.01 Median $912.01 Typical High $912.01 | Facility | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 56 · Pre-op care only | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $208.93 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $11,481.54 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $11,481.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $5,011.87 Median $6,760.83 Typical High $10,964.78 | Professional | 50 · Both sides | $5,011.87 | $6,760.83 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $891.25 Typical High $1,445.44 | Professional | 55 · Aftercare only | $660.69 | $891.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,089.30 Median $2,818.38 Typical High $4,466.84 | Professional | 62 · Two surgeons | $2,089.30 | $2,818.38 | $4,466.84 |
Where Minnesota sits
The same service costs 7.6 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
$4,169
AK $8,318TX $1,096
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.