How much rates vary
Facilitymedian $1,778 · 10th to 90th $741 to $4,169Professionalmedian $2,239 · 10th to 90th $1,230 to $4,467
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,230.27 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $1,778.28 Typical High $4,073.80 | Facility | None | $776.25 | $1,778.28 | $4,073.80 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $2,041.74 Typical High $3,630.78 | Facility | 50 · Both sides | $1,096.48 | $2,041.74 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,089.30 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,162.28 Typical High $5,754.40 | Professional | 50 · Both sides | $2,454.71 | $3,162.28 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,659.59 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,318.26 | $1,659.59 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,778.28 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,778.28 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,623.41 | Facility | None | $1,905.46 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $4,897.79 | Professional | None | $1,698.24 | $2,884.03 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $4,786.30 | Facility | None | $1,698.24 | $2,754.23 | $4,786.30 |
Health Partners Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,570.88 | Professional | None | $1,659.59 | $2,691.53 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,230.27 Typical High $2,884.03 | Facility | None | $478.63 | $1,230.27 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $8,511.38 | Professional | None | $1,288.25 | $2,187.76 | $8,511.38 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $4,073.80 | Professional | None | $1,202.26 | $2,089.30 | $4,073.80 |
1 more rate 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 $331.13 Median $416.87 Typical High $741.31 | Professional | 55 · Aftercare only | $331.13 | $416.87 | $741.31 |
Where Minnesota sits
The same service costs 6.3 times more in Wyoming than in Texas. 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
$2,089
WY $3,388TX $537
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.