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 $181.97 Median $416.87 Typical High $416.87 | Facility | None | $181.97 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $354.81 Typical High $467.74 | Professional | None | $181.97 | $354.81 | $467.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $933.25 | Facility | None | $275.42 | $501.19 | $933.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $1,148.15 | Professional | None | $275.42 | $660.69 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $707.95 Typical High $1,479.11 | Professional | None | $323.59 | $707.95 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $691.83 Typical High $1,380.38 | Professional | None | $309.03 | $691.83 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,230.27 | Facility | None | $125.89 | $426.58 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $977.24 Typical High $3,090.30 | Professional | None | $524.81 | $977.24 | $3,090.30 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $1,230.27 | Professional | None | $245.47 | $524.81 | $1,230.27 |
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 54 · Surgery only Typical Low $138.04 Median $309.03 Typical High $309.03 | Facility | 54 · Surgery only | $138.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $138.04 | $263.03 | $309.03 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 3rd of 51
$617
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.