How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,239 to $9,333Professionalmedian $4,786 · 10th to 90th $2,291 to $8,710
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,238.72 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $8,511.38 | Facility | None | $363.08 | $891.25 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $7,762.47 | Professional | None | $3,801.89 | $5,011.87 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $3,981.07 Typical High $6,309.57 | Professional | 54 · Surgery only | $3,019.95 | $3,981.07 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $4,168.69 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $3,162.28 | $4,168.69 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $5,754.40 Typical High $10,964.78 | Facility | None | $3,715.35 | $5,754.40 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $9,549.93 | Professional | None | $3,548.13 | $6,025.60 | $9,549.93 |
Health Partners Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $9,332.54 | Facility | None | $3,311.31 | $5,370.32 | $9,332.54 |
Health Partners Setting Professional Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $8,912.51 | Professional | None | $3,162.28 | $5,495.41 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,235.94 | $4,897.79 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $4,677.35 Typical High $18,620.87 | Professional | None | $2,570.40 | $4,677.35 | $18,620.87 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $8,709.64 | Professional | None | $2,454.71 | $4,265.80 | $8,709.64 |
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 $758.58 Median $1,000.00 Typical High $1,548.82 | Professional | 55 · Aftercare only | $758.58 | $1,000.00 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $3,090.30 Typical High $4,786.30 | Professional | 62 · Two surgeons | $2,344.23 | $3,090.30 | $4,786.30 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.