How much rates vary
Facilitymedian $2,344 · 10th to 90th $912 to $8,128Professionalmedian $1,660 · 10th to 90th $912 to $3,236
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | None | $912.01 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 54 · Surgery only | $676.08 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $7,244.36 Typical High $14,454.40 | Facility | None | $3,981.07 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,659.59 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,318.26 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,047.13 | $1,318.26 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $331.13 Typical High $537.03 | Professional | 55 · Aftercare only | $257.04 | $331.13 | $537.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,380.38 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,380.38 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,412.54 | $2,187.76 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,258.93 | $2,137.96 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,230.27 | $1,995.26 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,513.56 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,380.38 Typical High $6,309.57 | Professional | None | $831.76 | $1,380.38 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,818.38 | Professional | None | $812.83 | $1,318.26 | $2,818.38 |
9 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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $100.00 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $14,125.38 Typical High $25,118.86 | Facility | 50 · Both sides | $7,413.10 | $14,125.38 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,454.71 Typical High $4,168.69 | Professional | 50 · Both sides | $1,949.84 | $2,454.71 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $1,023.29 Typical High $1,659.59 | Professional | 62 · Two surgeons | $812.83 | $1,023.29 | $1,659.59 |
Where Minnesota sits
The same service costs 8.3 times more in Wyoming 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
$1,820
WY $4,074UT $490
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.