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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,000.00 | $1,318.26 |
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 $1,584.89 Median $4,265.80 Typical High $8,912.51 | Facility | None | $1,584.89 | $4,265.80 | $8,912.51 |
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 $2,187.76 | Professional | 62 · Two surgeons | $1,096.48 | $1,412.54 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,905.46 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,905.46 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,737.80 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,511.89 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,548.82 | $2,511.89 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,290.87 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,162.28 | Facility | None | $758.58 | $1,412.54 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $8,128.31 | Professional | None | $1,174.90 | $2,454.71 | $8,128.31 |
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 $1,122.02 Median $1,862.09 Typical High $4,073.80 | Professional | None | $1,122.02 | $1,862.09 | $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 $346.74 Median $457.09 Typical High $707.95 | Professional | 55 · Aftercare only | $346.74 | $457.09 | $707.95 |
Where Minnesota sits
The same service costs 5.8 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· 7th of 51
$2,188
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.