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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $8,511.38 Typical High $20,892.96 | Facility | None | $4,073.80 | $8,511.38 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $6,918.31 | Professional | None | $3,235.94 | $4,265.80 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,388.44 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,570.40 | $3,388.44 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,089.30 Median $2,630.27 Typical High $4,265.80 | Professional | 62 · Two surgeons | $2,089.30 | $2,630.27 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,548.13 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,548.13 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,019.95 | $4,677.35 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $8,128.31 | Professional | None | $3,548.13 | $5,248.07 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,691.53 | $4,365.16 | $7,585.78 |
Health Partners Setting Professional Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $7,413.10 | Professional | None | $3,019.95 | $4,570.88 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,630.78 | Facility | None | $758.58 | $1,445.44 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $8,128.31 | Professional | None | $2,511.89 | $3,981.07 | $8,128.31 |
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 $2,344.23 Median $3,981.07 Typical High $8,317.64 | Professional | None | $2,344.23 | $3,981.07 | $8,317.64 |
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 $676.08 Median $851.14 Typical High $1,380.38 | Professional | 55 · Aftercare only | $676.08 | $851.14 | $1,380.38 |
Where Minnesota sits
The same service costs 5.4 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
$4,074
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.