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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $1,949.84 | Facility | None | $144.54 | $154.88 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $154.88 | Professional | None | $123.03 | $141.25 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,479.11 | Facility | None | $501.19 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,412.54 | Professional | None | $549.54 | $891.25 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,258.93 | Facility | None | $446.68 | $707.95 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $812.83 Typical High $1,230.27 | Professional | None | $501.19 | $812.83 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,148.15 Typical High $3,019.95 | Facility | None | $524.81 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $5,248.07 | Professional | None | $257.04 | $524.81 | $5,248.07 |
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 $218.78 Median $489.78 Typical High $912.01 | Professional | None | $218.78 | $489.78 | $912.01 |
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 $162.18 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 54 · Surgery only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $23.99 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $77.62 Median $87.10 Typical High $97.72 | Professional | 62 · Two surgeons | $77.62 | $87.10 | $97.72 |
Where Minnesota sits
The same service costs 8.5 times more in New York than in Kentucky. 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· 11th of 51
$525
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.