How much rates vary
Facilitymedian $1,318 · 10th to 90th $525 to $4,365Professionalmedian $1,122 · 10th to 90th $525 to $2,042
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | None | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $7,413.10 | Facility | None | $2,570.40 | $4,073.80 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,862.09 | Professional | None | $851.14 | $1,148.15 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $933.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $676.08 | $933.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $977.24 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $707.95 | $977.24 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Facility | None | $870.96 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,412.54 Typical High $2,238.72 | Professional | None | $831.76 | $1,412.54 | $2,238.72 |
Health Partners Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,187.76 | Facility | None | $776.25 | $1,258.93 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,089.30 | Professional | None | $741.31 | $1,288.25 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $3,981.07 | Facility | None | $758.58 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $4,466.84 | Professional | None | $537.03 | $1,000.00 | $4,466.84 |
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 $524.81 Median $912.01 Typical High $1,862.09 | Professional | None | $524.81 | $912.01 | $1,862.09 |
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 $3,890.45 Median $7,244.36 Typical High $12,882.50 | Facility | 50 · Both sides | $3,890.45 | $7,244.36 | $12,882.50 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,737.80 Typical High $2,818.38 | Professional | 50 · Both sides | $1,288.25 | $1,737.80 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $234.42 Typical High $363.08 | Professional | 55 · Aftercare only | $169.82 | $234.42 | $363.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $724.44 Typical High $1,122.02 | Professional | 62 · Two surgeons | $537.03 | $724.44 | $1,122.02 |
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· 6th of 51
$1,148
AK $2,138TX $263
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.