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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $457.09 | Professional | None | $331.13 | $331.13 | $457.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $3,890.45 | Facility | None | $776.25 | $1,621.81 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,202.26 | Professional | None | $562.34 | $724.44 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $457.09 Typical High $741.31 | Professional | 62 · Two surgeons | $363.08 | $457.09 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,698.24 | Facility | None | $575.44 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,412.54 | Professional | None | $524.81 | $831.76 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,445.44 | Facility | None | $512.86 | $831.76 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,288.25 | Professional | None | $575.44 | $776.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $3,019.95 | Facility | None | $562.34 | $1,047.13 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $870.96 Typical High $2,754.23 | Professional | None | $416.87 | $870.96 | $2,754.23 |
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 $398.11 Median $645.65 Typical High $1,412.54 | Professional | None | $398.11 | $645.65 | $1,412.54 |
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 $251.19 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | 54 · Surgery only | $251.19 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $45.71 |
Where Minnesota sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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
$741
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.