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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | None | $741.31 | $741.31 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $7,762.47 Typical High $15,488.17 | Facility | None | $4,265.80 | $7,762.47 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $812.83 | Professional | None | $537.03 | $676.08 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,230.27 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,230.27 | $1,905.46 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,096.48 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,737.80 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $8,709.64 | Facility | None | $1,230.27 | $3,467.37 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $5,248.07 | Professional | None | $776.25 | $1,258.93 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $10,715.19 | Facility | None | $2,818.38 | $4,265.80 | $10,715.19 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,511.89 | Professional | None | $776.25 | $1,230.27 | $2,511.89 |
6 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 Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $15,135.61 Typical High $26,915.35 | Facility | 50 · Both sides | $7,943.28 | $15,135.61 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,000.00 Typical High $1,202.26 | Professional | 50 · Both sides | $812.83 | $1,000.00 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $645.65 | Professional | 54 · Surgery only | $426.58 | $537.03 | $645.65 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $162.18 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $162.18 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $416.87 Typical High $501.19 | Professional | 62 · Two surgeons | $338.84 | $416.87 | $501.19 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $562.34 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $446.68 | $562.34 | $676.08 |
Where Minnesota sits
The same service costs 6.2 times more in Alaska than in New York. 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· 19th of 51
$1,288
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.