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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 78 · Unplanned return to OR | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None | $309.03 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,778.28 | $3,467.37 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,071.52 | Professional | None | $549.54 | $707.95 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $575.44 Typical High $851.14 | Professional | 54 · Surgery only | $436.52 | $575.44 | $851.14 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $602.56 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $457.09 | $602.56 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,258.93 | Professional | None | $489.78 | $776.25 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,174.90 | Professional | None | $537.03 | $707.95 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $3,467.37 | Facility | None | $575.44 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $741.31 Typical High $2,454.71 | Professional | None | $346.74 | $741.31 | $2,454.71 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $1,202.26 | Professional | None | $338.84 | $562.34 | $1,202.26 |
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 $109.65 Median $141.25 Typical High $213.80 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $213.80 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $446.68 Typical High $660.69 | Professional | 62 · Two surgeons | $338.84 | $446.68 | $660.69 |
Where Minnesota sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 7th of 51
$708
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.