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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,995.26 | $1,995.26 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,659.59 Median $4,265.80 Typical High $18,197.01 | Facility | None | $1,659.59 | $4,265.80 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $6,918.31 | Professional | None | $3,388.44 | $4,365.16 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $3,548.13 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,691.53 | $3,548.13 | $5,623.41 |
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 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $3,715.35 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $2,818.38 | $3,715.35 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,232.93 | Facility | None | $3,388.44 | $5,248.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $8,317.64 | Professional | None | $3,090.30 | $4,897.79 | $8,317.64 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,019.95 | $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 $2,398.83 Median $5,011.87 Typical High $17,378.01 | Professional | None | $2,398.83 | $5,011.87 | $17,378.01 |
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 $2,290.87 Median $3,715.35 Typical High $8,128.31 | Professional | None | $2,290.87 | $3,715.35 | $8,128.31 |
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 $691.83 Median $891.25 Typical High $1,380.38 | Professional | 55 · Aftercare only | $691.83 | $891.25 | $1,380.38 |
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· 7th of 51
$4,266
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.