How much rates vary
Facilitymedian $3,090 · 10th to 90th $977 to $8,318Professionalmedian $2,089 · 10th to 90th $1,096 to $3,981
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,445.44 | Professional | None | $977.24 | $977.24 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,000.00 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $9,120.11 | Facility | None | $1,258.93 | $3,388.44 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,137.96 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,698.24 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,288.25 | $1,698.24 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,778.28 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,778.28 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,011.87 | Facility | None | $1,659.59 | $2,570.40 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $4,073.80 | Professional | None | $1,621.81 | $2,398.83 | $4,073.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,698.24 | $2,238.72 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $4,897.79 Typical High $9,332.54 | Facility | None | $1,905.46 | $4,897.79 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,344.23 Typical High $7,943.28 | Professional | None | $1,202.26 | $2,344.23 | $7,943.28 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,370.32 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $4,073.80 | Professional | None | $1,148.15 | $1,905.46 | $4,073.80 |
2 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 Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $426.58 Typical High $691.83 | Professional | 55 · Aftercare only | $331.13 | $426.58 | $691.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,318.26 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,047.13 | $1,318.26 | $2,137.96 |
Where Minnesota sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.