How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,023 to $14,791Professionalmedian $2,239 · 10th to 90th $1,096 to $4,074
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $870.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,165.95 Median $16,982.44 Typical High $39,810.72 | Facility | None | $6,165.95 | $16,982.44 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,290.87 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,819.70 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,380.38 | $1,819.70 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,412.54 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,096.48 | $1,412.54 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,905.46 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,905.46 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $5,370.32 | Facility | None | $1,737.80 | $2,754.23 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,584.89 | $2,511.89 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $4,570.88 | Facility | None | $1,548.82 | $2,570.40 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,344.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $4,897.79 Typical High $12,022.64 | Facility | None | $1,862.09 | $4,897.79 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $16,218.10 | Professional | None | $1,202.26 | $2,511.89 | $16,218.10 |
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 $1,174.90 Median $1,905.46 Typical High $4,073.80 | Professional | None | $1,174.90 | $1,905.46 | $4,073.80 |
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 $354.81 Median $457.09 Typical High $707.95 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $707.95 |
Where Minnesota sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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.
Physician feeFacility fee
AK $17,292WV $2,643
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.