How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,413 to $10,471Professionalmedian $2,570 · 10th to 90th $1,413 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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,412.54 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $8,317.64 Typical High $19,498.45 | Facility | None | $3,715.35 | $8,317.64 | $19,498.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $4,365.16 | Professional | None | $1,905.46 | $2,454.71 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,949.84 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,513.56 | $1,949.84 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,041.74 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,041.74 | $3,715.35 |
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 $2,238.72 Median $3,388.44 Typical High $5,623.41 | Professional | None | $2,238.72 | $3,388.44 | $5,623.41 |
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 $1,905.46 Median $3,090.30 Typical High $5,248.07 | Professional | None | $1,905.46 | $3,090.30 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $9,772.37 | Facility | None | $2,344.23 | $4,073.80 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $9,772.37 | Professional | None | $1,479.11 | $2,511.89 | $9,772.37 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,466.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,380.38 | $2,398.83 | $4,677.35 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | 53 · Discontinued | $281.84 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $154.88 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,232.93 Median $18,620.87 Typical High $34,673.69 | Facility | 50 · Both sides | $10,232.93 | $18,620.87 | $34,673.69 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,630.78 Typical High $6,606.93 | Professional | 50 · Both sides | $2,884.03 | $3,630.78 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $489.78 Typical High $851.14 | Professional | 55 · Aftercare only | $380.19 | $489.78 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,513.56 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,202.26 | $1,513.56 | $2,691.53 |
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
$2,818
WY $5,623UT $676
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.