How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,148 to $13,804Professionalmedian $2,399 · 10th to 90th $1,148 to $4,365
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 $6,918.31 Median $30,199.52 Typical High $70,794.58 | Facility | None | $6,918.31 | $30,199.52 | $70,794.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,398.83 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,905.46 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,445.44 | $1,905.46 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,995.26 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,995.26 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,090.30 Typical High $4,786.30 | Professional | None | $1,778.28 | $3,090.30 | $4,786.30 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,677.35 | Facility | None | $1,659.59 | $2,691.53 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $4,570.88 | Professional | None | $1,621.81 | $2,818.38 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,995.26 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $8,709.64 | Professional | None | $1,288.25 | $2,344.23 | $8,709.64 |
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 $1,202.26 Median $2,137.96 Typical High $4,365.16 | Professional | None | $1,202.26 | $2,137.96 | $4,365.16 |
2 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 Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $478.63 Typical High $758.58 | Professional | 55 · Aftercare only | $363.08 | $478.63 | $758.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,513.56 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,122.02 | $1,513.56 | $2,344.23 |
Where Minnesota sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.