How much rates vary
Facilitymedian $6,457 · 10th to 90th $347 to $11,220Professionalmedian $759 · 10th to 90th $355 to $1,413
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 $346.74 Median $6,456.54 Typical High $7,244.36 | Facility | None | $346.74 | $6,456.54 | $7,244.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 54 · Surgery only | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 78 · Unplanned return to OR | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $501.19 | Professional | None | $346.74 | $346.74 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | 54 · Surgery only | $263.03 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $245.47 | $245.47 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $7,762.47 Typical High $21,877.62 | Facility | None | $776.25 | $7,762.47 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,258.93 | Professional | None | $602.56 | $776.25 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $616.60 Typical High $1,000.00 | Professional | 54 · Surgery only | $489.78 | $616.60 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $660.69 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $512.86 | $660.69 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $3,548.13 | Facility | None | $831.76 | $1,258.93 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,445.44 | Professional | None | $537.03 | $851.14 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,202.26 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,318.26 | Professional | None | $602.56 | $851.14 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $4,168.69 Typical High $11,748.98 | Facility | None | $588.84 | $4,168.69 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $3,162.28 | Professional | None | $416.87 | $891.25 | $3,162.28 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $10,471.29 Typical High $16,595.87 | Facility | None | $5,754.40 | $10,471.29 | $16,595.87 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,412.54 | Professional | None | $407.38 | $676.08 | $1,412.54 |
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 $123.03 Median $158.49 Typical High $251.19 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $251.19 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $489.78 Typical High $776.25 | Professional | 62 · Two surgeons | $389.05 | $489.78 | $776.25 |
Where Minnesota sits
The same service costs 4.2 times more in Wyoming 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
$776
WY $1,202UT $288
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.