How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,413 to $9,772Professionalmedian $2,570 · 10th to 90th $1,413 to $5,129
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $8,912.51 Typical High $14,791.08 | Facility | None | $5,011.87 | $8,912.51 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,570.40 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,041.74 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,584.89 | $2,041.74 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $5,623.41 | Professional | None | $1,949.84 | $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 $1,949.84 Median $3,090.30 Typical High $5,370.32 | Professional | None | $1,949.84 | $3,090.30 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,995.26 | $2,818.38 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $10,471.29 | Professional | None | $1,380.38 | $2,290.87 | $10,471.29 |
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 $1,318.26 Median $2,187.76 Typical High $4,466.84 | Professional | None | $1,318.26 | $2,187.76 | $4,466.84 |
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 $288.40 Median $288.40 Typical High $288.40 | Facility | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
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 $794.33 | Professional | 52 · Reduced service | $707.95 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 53 · Discontinued | $288.40 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $158.49 |
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 $3,019.95 Median $3,801.89 Typical High $6,606.93 | Professional | 50 · Both sides | $3,019.95 | $3,801.89 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $512.86 Typical High $851.14 | Professional | 55 · Aftercare only | $398.11 | $512.86 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,584.89 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,258.93 | $1,584.89 | $2,691.53 |
Where Minnesota sits
The same service costs 7.1 times more in Alaska 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· 6th of 51
$2,692
AK $5,370UT $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.