How much rates vary
Facilitymedian $3,388 · 10th to 90th $417 to $9,550Professionalmedian $2,089 · 10th to 90th $708 to $5,623
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 $416.87 Median $1,513.56 Typical High $1,513.56 | Facility | None | $416.87 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $1,148.15 Typical High $1,148.15 | Facility | 54 · Surgery only | $316.23 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $63.10 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $1,071.52 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $295.12 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,513.56 Typical High $1,513.56 | Professional | None | $416.87 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $1,122.02 Typical High $1,148.15 | Professional | 54 · Surgery only | $316.23 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $63.10 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $1,047.13 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $295.12 | $1,047.13 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,466.84 Median $8,709.64 Typical High $18,197.01 | Facility | None | $4,466.84 | $8,709.64 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $2,454.71 Typical High $4,677.35 | Professional | None | $724.44 | $2,454.71 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,949.84 Typical High $3,715.35 | Professional | 54 · Surgery only | $588.84 | $1,949.84 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $478.63 Typical High $933.25 | Professional | 55 · Aftercare only | $144.54 | $478.63 | $933.25 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $1,479.11 Typical High $2,884.03 | Professional | 62 · Two surgeons | $457.09 | $1,479.11 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $616.60 | $2,041.74 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $7,943.28 | Facility | None | $2,511.89 | $4,168.69 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,691.53 Typical High $6,760.83 | Professional | None | $1,000.00 | $2,691.53 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,606.93 | Facility | None | $2,344.23 | $3,801.89 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,398.83 Typical High $5,888.44 | Professional | None | $891.25 | $2,398.83 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $3,235.94 Typical High $7,943.28 | Facility | None | $870.96 | $3,235.94 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $10,471.29 | Professional | None | $2,344.23 | $4,786.30 | $10,471.29 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,862.09 Typical High $6,456.54 | Professional | None | $616.60 | $1,862.09 | $6,456.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $41.69 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $41.69 | $151.36 | $151.36 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 5th of 51
$2,630
AK $3,981NE $891
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.