How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,202 to $6,026Professionalmedian $2,512 · 10th to 90th $1,202 to $4,677
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,202.26 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $954.99 | Professional | 54 · Surgery only | $912.01 | $912.01 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $891.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,754.40 Typical High $12,022.64 | Facility | None | $2,137.96 | $5,754.40 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,513.56 | $2,041.74 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,187.76 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,187.76 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,995.26 | $3,090.30 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,235.94 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $5,011.87 | Facility | None | $1,778.28 | $2,818.38 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $4,786.30 | Professional | None | $1,698.24 | $2,951.21 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $3,311.31 | Facility | None | $758.58 | $1,659.59 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $9,549.93 | Professional | None | $1,348.96 | $2,454.71 | $9,549.93 |
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 $1,258.93 Median $2,187.76 Typical High $4,570.88 | Professional | None | $1,258.93 | $2,187.76 | $4,570.88 |
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 $3,162.28 Median $5,754.40 Typical High $10,964.78 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,964.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,890.45 Typical High $6,456.54 | Professional | 50 · Both sides | $2,884.03 | $3,890.45 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $512.86 Typical High $851.14 | Professional | 55 · Aftercare only | $380.19 | $512.86 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,202.26 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 5.9 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.
Physician feeFacility fee
AK $12,256TX $2,071
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.