How much rates vary
Facilitymedian $1,349 · 10th to 90th $372 to $14,454Professionalmedian $813 · 10th to 90th $380 to $1,514
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 78 · Unplanned return to OR | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | 54 · Surgery only | $275.42 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $7,762.47 Typical High $21,877.62 | Facility | None | $831.76 | $7,762.47 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,348.96 | Professional | None | $645.65 | $831.76 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $660.69 Typical High $1,047.13 | Professional | 54 · Surgery only | $512.86 | $660.69 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $707.95 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $549.54 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $3,801.89 | Facility | None | $891.25 | $1,348.96 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,548.82 | Professional | None | $575.44 | $912.01 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $3,019.95 | Facility | None | $794.33 | $1,258.93 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,412.54 | Professional | None | $645.65 | $891.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $4,073.80 Typical High $11,748.98 | Facility | None | $630.96 | $4,073.80 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Professional | None | $446.68 | $954.99 | $3,388.44 |
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 $436.52 Median $724.44 Typical High $1,513.56 | Professional | None | $436.52 | $724.44 | $1,513.56 |
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 $131.83 Median $165.96 Typical High $269.15 | Professional | 55 · Aftercare only | $131.83 | $165.96 | $269.15 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $524.81 Typical High $812.83 | Professional | 62 · Two surgeons | $398.11 | $524.81 | $812.83 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska 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
$832
AK $1,318UT $302
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.