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 $141.25 Median $338.84 Typical High $338.84 | Facility | None | $141.25 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $338.84 Typical High $389.05 | Professional | None | $141.25 | $338.84 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $5,248.07 Typical High $12,022.64 | Facility | None | $95.50 | $5,248.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $912.01 | Professional | None | $229.09 | $501.19 | $912.01 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $758.58 Typical High $1,380.38 | Professional | 50 · Both sides | $338.84 | $758.58 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,445.44 | Facility | None | $467.74 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $1,230.27 | Professional | None | $275.42 | $537.03 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,230.27 | Facility | None | $436.52 | $691.83 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $1,000.00 | Professional | None | $263.03 | $489.78 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $407.38 Typical High $1,737.80 | Facility | None | $131.83 | $407.38 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $691.83 Typical High $1,412.54 | Professional | None | $398.11 | $691.83 | $1,412.54 |
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 $194.98 Median $489.78 Typical High $1,148.15 | Professional | None | $194.98 | $489.78 | $1,148.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $104.71 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $104.71 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $21.38 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $14.13 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $104.71 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $21.38 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $14.13 | $33.88 | $33.88 |
Where Minnesota sits
The same service costs 3.4 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· 7th of 51
$479
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.