How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,122 to $9,550Professionalmedian $2,692 · 10th to 90th $1,230 to $4,786
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | None | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $891.25 | Professional | 54 · Surgery only | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,606.93 Median $12,302.69 Typical High $25,118.86 | Facility | None | $6,606.93 | $12,302.69 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,995.26 | $2,691.53 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,187.76 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,584.89 | $2,187.76 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,290.87 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,290.87 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,905.46 | $2,951.21 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,467.37 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,698.24 | $2,754.23 | $4,786.30 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $4,786.30 | Professional | None | $1,949.84 | $3,090.30 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $3,467.37 | Facility | None | $758.58 | $1,479.11 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $8,912.51 | Professional | None | $1,380.38 | $2,630.27 | $8,912.51 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,258.93 | $2,398.83 | $4,677.35 |
4 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $12,882.50 Median $23,988.33 Typical High $43,651.58 | Facility | 50 · Both sides | $12,882.50 | $23,988.33 | $43,651.58 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $4,073.80 Typical High $6,606.93 | Professional | 50 · Both sides | $3,019.95 | $4,073.80 | $6,606.93 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $537.03 Typical High $870.96 | Professional | 55 · Aftercare only | $398.11 | $537.03 | $870.96 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,698.24 Typical High $2,691.53 | Professional | 62 · Two surgeons | $1,258.93 | $1,698.24 | $2,691.53 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 4th of 51
$2,630
AK $5,012TX $741
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.