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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,344.23 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $9,772.37 Typical High $23,442.29 | Facility | None | $4,570.88 | $9,772.37 | $23,442.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $7,943.28 | Professional | None | $3,630.78 | $4,897.79 | $7,943.28 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,890.45 Typical High $6,309.57 | Professional | 54 · Surgery only | $2,884.03 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,238.72 Median $3,019.95 Typical High $4,786.30 | Professional | 62 · Two surgeons | $2,238.72 | $3,019.95 | $4,786.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $4,073.80 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $3,019.95 | $4,073.80 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,232.93 | Facility | None | $3,388.44 | $5,248.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $5,888.44 Typical High $9,120.11 | Professional | None | $3,981.07 | $5,888.44 | $9,120.11 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,019.95 | $4,897.79 | $8,511.38 |
Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $8,511.38 | Professional | None | $3,467.37 | $5,128.61 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,073.80 | Facility | None | $758.58 | $1,445.44 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $9,332.54 | Professional | None | $2,884.03 | $4,570.88 | $9,332.54 |
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 $2,691.53 Median $4,570.88 Typical High $9,549.93 | Professional | None | $2,691.53 | $4,570.88 | $9,549.93 |
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 $724.44 Median $977.24 Typical High $1,548.82 | Professional | 55 · Aftercare only | $724.44 | $977.24 | $1,548.82 |
Where Minnesota sits
The same service costs 6.5 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
$4,571
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.