How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,202 to $8,128Professionalmedian $2,570 · 10th to 90th $1,202 to $4,786
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 $1,348.96 | Professional | None | $1,202.26 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $977.24 | Professional | 54 · Surgery only | $912.01 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,801.89 Median $7,762.47 Typical High $13,803.84 | Facility | None | $3,801.89 | $7,762.47 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,630.27 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,089.30 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,584.89 | $2,089.30 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,238.72 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,238.72 | $3,548.13 |
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 $1,513.56 Median $2,238.72 Typical High $5,011.87 | Facility | None | $1,513.56 | $2,238.72 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $9,120.11 | Professional | None | $1,380.38 | $2,511.89 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,513.56 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,238.72 | $4,677.35 |
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 $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,981.07 Typical High $6,309.57 | Professional | 50 · Both sides | $2,951.21 | $3,981.07 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $537.03 Typical High $851.14 | Professional | 55 · Aftercare only | $398.11 | $537.03 | $851.14 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,230.27 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.