How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,096 to $8,511Professionalmedian $3,236 · 10th to 90th $1,514 to $5,623
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,047.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $8,709.64 Typical High $15,488.17 | Facility | None | $4,365.16 | $8,709.64 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,311.31 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,630.27 Typical High $4,168.69 | Professional | 54 · Surgery only | $1,949.84 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,754.23 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,754.23 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $6,456.54 | Facility | None | $2,187.76 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $6,165.95 | Professional | None | $2,511.89 | $3,890.45 | $6,165.95 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,548.13 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $3,090.30 Typical High $10,232.93 | Professional | None | $1,659.59 | $3,090.30 | $10,232.93 |
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 $1,621.81 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,621.81 | $2,754.23 | $5,754.40 |
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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $147.91 |
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 $3,630.78 Median $4,897.79 Typical High $7,762.47 | Professional | 50 · Both sides | $3,630.78 | $4,897.79 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $660.69 Typical High $1,023.29 | Professional | 55 · Aftercare only | $489.78 | $660.69 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $2,041.74 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,513.56 | $2,041.74 | $3,162.28 |
Where Minnesota sits
The same service costs 7.8 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
$3,020
AK $5,888TX $759
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.