How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,047 to $6,918Professionalmedian $1,862 · 10th to 90th $1,047 to $3,802
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $812.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $5,623.41 Typical High $10,232.93 | Facility | None | $3,090.30 | $5,623.41 | $10,232.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,445.44 | $1,819.70 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,479.11 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,148.15 | $1,479.11 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $363.08 Typical High $645.65 | Professional | 55 · Aftercare only | $288.40 | $363.08 | $645.65 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,548.82 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,548.82 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,786.30 | Facility | None | $1,621.81 | $2,511.89 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,454.71 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,445.44 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,412.54 | $2,290.87 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $5,623.41 | Facility | None | $1,513.56 | $2,187.76 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $7,413.10 | Professional | None | $1,023.29 | $1,778.28 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,513.56 | $2,511.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,000.00 | $1,659.59 | $3,388.44 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $114.82 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $8,511.38 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $8,511.38 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,754.23 Typical High $4,897.79 | Professional | 50 · Both sides | $2,137.96 | $2,754.23 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,148.15 Typical High $1,949.84 | Professional | 62 · Two surgeons | $891.25 | $1,148.15 | $1,949.84 |
Where Minnesota sits
The same service costs 7.4 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
$1,995
AK $3,981UT $537
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.