How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,122 to $15,849Professionalmedian $5,370 · 10th to 90th $2,692 to $10,233
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $2,398.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $16,982.44 Typical High $30,902.95 | Facility | None | $7,762.47 | $16,982.44 | $30,902.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $8,912.51 | Professional | None | $4,168.69 | $5,370.32 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $3,311.31 Median $4,365.16 Typical High $7,079.46 | Professional | 54 · Surgery only | $3,311.31 | $4,365.16 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,467.37 Median $4,570.88 Typical High $7,413.10 | Professional | 78 · Unplanned return to OR | $3,467.37 | $4,570.88 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,760.83 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $10,715.19 | Professional | None | $3,981.07 | $6,309.57 | $10,715.19 |
Health Partners Setting Facility Modifier None Typical Low $3,890.45 Median $6,309.57 Typical High $10,964.78 | Facility | None | $3,890.45 | $6,309.57 | $10,964.78 |
Health Partners Setting Professional Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $9,772.37 | Professional | None | $4,365.16 | $5,888.44 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $5,011.87 | Facility | None | $758.58 | $1,445.44 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $6,165.95 Typical High $20,417.38 | Professional | None | $3,019.95 | $6,165.95 | $20,417.38 |
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 $2,951.21 Median $4,786.30 Typical High $10,232.93 | Professional | None | $2,951.21 | $4,786.30 | $10,232.93 |
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 $851.14 Median $1,096.48 Typical High $1,778.28 | Professional | 55 · Aftercare only | $851.14 | $1,096.48 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $2,630.27 Median $3,388.44 Typical High $5,495.41 | Professional | 62 · Two surgeons | $2,630.27 | $3,388.44 | $5,495.41 |
Where Minnesota sits
The same service costs 6.5 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $21,355WA $3,262
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.