How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,138 to $16,218Professionalmedian $4,786 · 10th to 90th $2,138 to $8,318
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,137.96 | $2,290.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,584.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,549.93 Median $16,595.87 Typical High $31,622.78 | Facility | None | $9,549.93 | $16,595.87 | $31,622.78 |
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 $3,090.30 Median $3,981.07 Typical High $6,165.95 | Professional | 54 · Surgery only | $3,090.30 | $3,981.07 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,398.83 Median $3,019.95 Typical High $4,677.35 | Professional | 62 · Two surgeons | $2,398.83 | $3,019.95 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,168.69 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,168.69 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $10,232.93 | Facility | None | $3,467.37 | $5,370.32 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $8,912.51 | Professional | None | $3,311.31 | $5,623.41 | $8,912.51 |
Health Partners Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $8,709.64 | Facility | None | $3,090.30 | $5,011.87 | $8,709.64 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $5,248.07 Typical High $8,317.64 | Professional | None | $2,951.21 | $5,248.07 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $3,715.35 Median $5,128.61 Typical High $12,022.64 | Facility | None | $3,715.35 | $5,128.61 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $4,073.80 Typical High $16,218.10 | Professional | None | $2,290.87 | $4,073.80 | $16,218.10 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $15,135.61 | Facility | None | $3,981.07 | $5,623.41 | $15,135.61 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $8,317.64 | Professional | None | $2,238.72 | $3,630.78 | $8,317.64 |
1 more rate 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 $1,513.56 | Professional | 55 · Aftercare only | $758.58 | $1,000.00 | $1,513.56 |
Where Minnesota sits
The same service costs 8.1 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· 5th of 51
$4,786
AK $9,550TX $1,175
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.