How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,259 to $12,023Professionalmedian $2,570 · 10th to 90th $1,479 to $4,677
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,079.46 Median $12,302.69 Typical High $23,988.33 | Facility | None | $7,079.46 | $12,302.69 | $23,988.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,570.40 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,089.30 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,548.82 | $2,089.30 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,187.76 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,187.76 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,819.70 | $2,818.38 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,089.30 | $3,162.28 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,754.23 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,677.35 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,513.56 | $2,398.83 | $4,897.79 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $5,011.87 | Professional | None | $1,445.44 | $2,398.83 | $5,011.87 |
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 $10,715.19 Median $19,952.62 Typical High $36,307.81 | Facility | 50 · Both sides | $10,715.19 | $19,952.62 | $36,307.81 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,890.45 Typical High $6,309.57 | Professional | 50 · Both sides | $2,884.03 | $3,890.45 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $524.81 Typical High $831.76 | Professional | 55 · Aftercare only | $380.19 | $524.81 | $831.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | 62 · Two surgeons | $1,202.26 | $1,621.81 | $2,630.27 |
Where Minnesota sits
The same service costs 5.4 times more in Wisconsin 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· 8th of 51
$2,818
WI $5,248TX $977
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.