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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $446.68 | Facility | None | $223.87 | $281.84 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $371.54 | Professional | None | $173.78 | $223.87 | $371.54 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $109.65 Median $141.25 Typical High $229.09 | Professional | 62 · Two surgeons | $109.65 | $141.25 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $524.81 | Facility | None | $177.83 | $275.42 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $436.52 | Professional | None | $165.96 | $257.04 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $446.68 | Facility | None | $158.49 | $257.04 | $446.68 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $389.05 | Professional | None | $177.83 | $239.88 | $389.05 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $1,230.27 Typical High $3,311.31 | Facility | None | $190.55 | $1,230.27 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $1,148.15 | Professional | None | $125.89 | $257.04 | $1,148.15 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $4,265.80 | Facility | None | $776.25 | $1,548.82 | $4,265.80 |
United Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $436.52 | Professional | None | $123.03 | $204.17 | $436.52 |
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 $77.62 Median $77.62 Typical High $77.62 | Facility | 54 · Surgery only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | 54 · Surgery only | $77.62 | $77.62 | $104.71 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$224
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.