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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None | $194.98 | $194.98 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $891.25 | Facility | None | $131.83 | $141.25 | $891.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None | $112.20 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $870.96 | Facility | None | $295.12 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $831.76 | Professional | None | $338.84 | $524.81 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $724.44 | Facility | None | $263.03 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $724.44 | Professional | None | $295.12 | $478.63 | $724.44 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,148.15 Typical High $3,019.95 | Facility | None | $309.03 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $407.38 Typical High $5,248.07 | Professional | None | $208.93 | $407.38 | $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 $186.21 Median $380.19 Typical High $776.25 | Professional | None | $186.21 | $380.19 | $776.25 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $22.91 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | 62 · Two surgeons | $70.79 | $83.18 | $87.10 |
Where Minnesota sits
The same service costs 10.5 times more in North Dakota 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· 26th of 51
$331
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.