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 $363.08 Median $870.96 Typical High $870.96 | Facility | None | $363.08 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $870.96 Typical High $1,000.00 | Professional | None | $363.08 | $870.96 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,041.74 Median $5,370.32 Typical High $12,302.69 | Facility | None | $2,041.74 | $5,370.32 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $1,348.96 Typical High $2,454.71 | Professional | None | $630.96 | $1,348.96 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,445.44 | $2,344.23 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,513.56 Typical High $3,090.30 | Professional | None | $660.69 | $1,513.56 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,187.76 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,412.54 Typical High $2,884.03 | Professional | None | $630.96 | $1,412.54 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,949.84 Typical High $4,786.30 | Facility | None | $676.08 | $1,949.84 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,884.03 Typical High $15,488.17 | Professional | None | $1,071.52 | $2,884.03 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $426.58 Median $1,122.02 Typical High $3,019.95 | Professional | None | $426.58 | $1,122.02 | $3,019.95 |
4 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 $275.42 Median $660.69 Typical High $660.69 | Facility | 54 · Surgery only | $275.42 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $616.60 Typical High $616.60 | Facility | 78 · Unplanned return to OR | $257.04 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $660.69 Typical High $741.31 | Professional | 54 · Surgery only | $275.42 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $616.60 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $257.04 | $616.60 | $691.83 |
Where Minnesota sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 8th of 51
$1,318
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.