How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,000 to $5,888Professionalmedian $2,239 · 10th to 90th $1,202 to $4,169
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,000.00 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $776.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $10,715.19 | Facility | None | $2,511.89 | $4,897.79 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,659.59 | $2,238.72 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,778.28 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,348.96 | $1,778.28 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,380.38 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,047.13 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,862.09 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,862.09 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,677.35 | Professional | None | $1,862.09 | $2,951.21 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,479.11 | $2,344.23 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,659.59 | $2,691.53 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $3,467.37 | Facility | None | $758.58 | $1,584.89 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $7,585.78 | Professional | None | $1,202.26 | $2,290.87 | $7,585.78 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,202.26 | $2,137.96 | $3,981.07 |
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 $331.13 Median $446.68 Typical High $724.44 | Professional | 55 · Aftercare only | $331.13 | $446.68 | $724.44 |
Where Minnesota sits
The same service costs 3.4 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 $7,428KY $2,193
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.