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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | None | $645.65 | $645.65 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,258.93 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,258.93 | $3,311.31 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,096.48 | Professional | None | $870.96 | $1,000.00 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,235.94 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,819.70 | $2,951.21 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,862.09 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,754.23 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,388.44 | Facility | None | $758.58 | $1,412.54 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,905.46 Typical High $5,248.07 | Professional | None | $707.95 | $1,905.46 | $5,248.07 |
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 $645.65 Median $1,584.89 Typical High $3,019.95 | Professional | None | $645.65 | $1,584.89 | $3,019.95 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | 54 · Surgery only | $489.78 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $524.81 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | 62 · Two surgeons | $549.54 | $691.83 | $691.83 |
Where Minnesota sits
The same service costs 8.5 times more in Alaska 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.
Minnesota· 4th of 51
$1,698
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.