How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $13,490Professionalmedian $4,365 · 10th to 90th $2,138 to $8,128
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,995.26 | $1,995.26 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $13,803.84 Typical High $25,703.96 | Facility | None | $7,762.47 | $13,803.84 | $25,703.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $7,079.46 | Professional | None | $3,388.44 | $4,466.84 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $3,548.13 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,754.23 | $3,548.13 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,715.35 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,715.35 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $10,232.93 | Facility | None | $3,467.37 | $5,370.32 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $8,317.64 | Professional | None | $3,162.28 | $4,897.79 | $8,317.64 |
Health Partners Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,090.30 | $4,897.79 | $8,511.38 |
Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $7,585.78 | Professional | None | $3,467.37 | $4,570.88 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,981.07 | Facility | None | $758.58 | $1,445.44 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,897.79 Typical High $18,620.87 | Professional | None | $2,344.23 | $4,897.79 | $18,620.87 |
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 $2,344.23 Median $3,801.89 Typical High $8,128.31 | Professional | None | $2,344.23 | $3,801.89 | $8,128.31 |
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 $691.83 Median $891.25 Typical High $1,412.54 | Professional | 55 · Aftercare only | $691.83 | $891.25 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,137.96 Median $2,754.23 Typical High $4,365.16 | Professional | 62 · Two surgeons | $2,137.96 | $2,754.23 | $4,365.16 |
Where Minnesota sits
The same service costs 21.9 times more in Alaska than in Texas. 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· 8th of 51
$4,365
AK $7,586TX $347
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.