How much rates vary
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,187.76 | $2,630.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,819.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $8,709.64 Typical High $21,379.62 | Facility | None | $4,168.69 | $8,709.64 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $4,365.16 Typical High $7,244.36 | Professional | None | $3,311.31 | $4,365.16 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $3,548.13 Typical High $5,754.40 | Professional | 54 · Surgery only | $2,630.27 | $3,548.13 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,137.96 Median $2,754.23 Typical High $4,466.84 | Professional | 62 · Two surgeons | $2,137.96 | $2,754.23 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $3,715.35 Typical High $6,025.60 | Professional | 78 · Unplanned return to OR | $2,818.38 | $3,715.35 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,162.28 | $4,897.79 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $8,511.38 | Professional | None | $3,630.78 | $5,370.32 | $8,511.38 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,818.38 | $4,466.84 | $7,762.47 |
Health Partners Setting Professional Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $7,762.47 | Professional | None | $3,162.28 | $4,786.30 | $7,762.47 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,801.89 | Facility | None | $758.58 | $1,445.44 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $8,511.38 | Professional | None | $2,630.27 | $4,265.80 | $8,511.38 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $8,709.64 | Professional | None | $2,398.83 | $4,265.80 | $8,709.64 |
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 $691.83 Median $870.96 Typical High $1,412.54 | Professional | 55 · Aftercare only | $691.83 | $870.96 | $1,412.54 |
Where Minnesota sits
The same service costs 5.2 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
$4,266
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.