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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | None | $478.63 | $478.63 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,128.61 Median $16,595.87 Typical High $39,810.72 | Facility | None | $5,128.61 | $16,595.87 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,174.90 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $7,079.46 | Facility | None | $2,398.83 | $3,715.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $3,388.44 Typical High $5,888.44 | Professional | None | $1,737.80 | $3,388.44 | $5,888.44 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,137.96 | $3,388.44 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,398.83 | $3,162.28 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $8,709.64 | Facility | None | $1,995.26 | $3,801.89 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,862.09 Typical High $4,265.80 | Professional | None | $524.81 | $1,862.09 | $4,265.80 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $478.63 Median $1,479.11 Typical High $3,467.37 | Professional | None | $478.63 | $1,479.11 | $3,467.37 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | 54 · Surgery only | $354.81 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $436.52 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | 62 · Two surgeons | $645.65 | $812.83 | $812.83 |
Where Minnesota sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 3rd of 51
$2,042
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.