How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,259 to $7,413Professionalmedian $2,951 · 10th to 90th $1,259 to $5,248
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,258.93 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $4,897.79 | Facility | None | $363.08 | $891.25 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,238.72 | $3,162.28 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,511.89 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,778.28 | $2,511.89 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,691.53 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,691.53 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,309.57 | Facility | None | $2,089.30 | $3,235.94 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,467.37 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,862.09 | $3,019.95 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $3,162.28 Typical High $5,128.61 | Professional | None | $1,778.28 | $3,162.28 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $11,481.54 | Facility | None | $2,137.96 | $5,011.87 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $9,772.37 | Professional | None | $1,445.44 | $2,570.40 | $9,772.37 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,182.57 | Facility | None | $3,981.07 | $5,623.41 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $5,011.87 | Professional | None | $1,380.38 | $2,344.23 | $5,011.87 |
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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | 53 · Discontinued | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $131.83 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,388.44 Median $4,786.30 Typical High $7,413.10 | Professional | 50 · Both sides | $3,388.44 | $4,786.30 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $630.96 Typical High $954.99 | Professional | 55 · Aftercare only | $467.74 | $630.96 | $954.99 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,995.26 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,445.44 | $1,995.26 | $2,951.21 |
Where Minnesota sits
The same service costs 5.9 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
$2,951
AK $5,754TX $977
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.