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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $575.44 | Professional | None | $323.59 | $323.59 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $9,332.54 | Facility | None | $1,412.54 | $1,584.89 | $9,332.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,412.54 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,511.89 | Facility | None | $851.14 | $1,318.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,089.30 | Professional | None | $776.25 | $1,230.27 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,137.96 | Facility | None | $758.58 | $1,230.27 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,862.09 | Professional | None | $851.14 | $1,122.02 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $3,019.95 | Facility | None | $758.58 | $1,202.26 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $891.25 Typical High $16,218.10 | Professional | None | $363.08 | $891.25 | $16,218.10 |
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 $346.74 Median $691.83 Typical High $1,318.26 | Professional | None | $346.74 | $691.83 | $1,318.26 |
7 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 $239.88 Median $239.88 Typical High $239.88 | Facility | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | 54 · Surgery only | $239.88 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $50.12 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | 62 · Two surgeons | $794.33 | $977.24 | $977.24 |
Where Minnesota sits
The same service costs 15.1 times more in New York than in Hawaii. 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· 4th of 51
$1,148
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.