How much rates vary
Facilitymedian $1,514 · 10th to 90th $813 to $7,079Professionalmedian $1,096 · 10th to 90th $776 to $2,291
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | None | $630.96 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $562.34 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,235.94 Median $9,120.11 Typical High $21,877.62 | Facility | None | $3,235.94 | $9,120.11 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,380.38 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,122.02 Typical High $1,778.28 | Professional | 54 · Surgery only | $851.14 | $1,122.02 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $288.40 Typical High $457.09 | Professional | 55 · Aftercare only | $208.93 | $288.40 | $457.09 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,174.90 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $891.25 | $1,174.90 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,000.00 | Professional | None | $776.25 | $812.83 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,348.96 Typical High $3,019.95 | Facility | None | $758.58 | $1,348.96 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,677.35 | Professional | None | $758.58 | $1,412.54 | $4,677.35 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,454.71 | Professional | None | $707.95 | $1,230.27 | $2,454.71 |
3 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 $81.28 Median $81.28 Typical High $81.28 | Facility | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $81.28 | $81.28 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $912.01 Typical High $1,412.54 | Professional | 62 · Two surgeons | $660.69 | $912.01 | $1,412.54 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 10th of 51
$1,122
AK $1,862TX $490
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.