How much rates vary
Facilitymedian $1,995 · 10th to 90th $692 to $7,079Professionalmedian $1,288 · 10th to 90th $692 to $2,570
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | None | $691.83 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | 54 · Surgery only | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,819.70 Median $6,165.95 Typical High $14,125.38 | Facility | None | $1,819.70 | $6,165.95 | $14,125.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $2,137.96 | Professional | None | $933.25 | $1,258.93 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,000.00 Typical High $1,737.80 | Professional | 54 · Surgery only | $758.58 | $1,000.00 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $239.88 Typical High $416.87 | Professional | 55 · Aftercare only | $204.17 | $239.88 | $416.87 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,047.13 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $794.33 | $1,047.13 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,754.23 | Professional | None | $954.99 | $1,621.81 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,691.53 | Facility | None | $954.99 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,570.40 | Professional | None | $933.25 | $1,513.56 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,148.15 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $4,786.30 | Professional | None | $707.95 | $1,230.27 | $4,786.30 |
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 $660.69 Median $1,148.15 Typical High $2,290.87 | Professional | None | $660.69 | $1,148.15 | $2,290.87 |
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 $346.74 Median $346.74 Typical High $346.74 | Facility | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 53 · Discontinued | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $75.86 |
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 $1,412.54 Median $1,862.09 Typical High $3,235.94 | Professional | 50 · Both sides | $1,412.54 | $1,862.09 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $741.31 Typical High $1,288.25 | Professional | 62 · Two surgeons | $602.56 | $741.31 | $1,288.25 |
Where Minnesota sits
The same service costs 8.5 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· 6th of 51
$1,380
WY $3,020UT $355
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.