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 $38.02 Median $74.13 Typical High $74.13 | Facility | None | $38.02 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $74.13 | Professional | None | $38.02 | $69.18 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $380.19 Typical High $912.01 | Facility | None | $93.33 | $380.19 | $912.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $229.09 | Professional | None | $60.26 | $125.89 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $363.08 | Facility | None | $120.23 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $309.03 | Professional | None | $83.18 | $158.49 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $302.00 | Facility | None | $107.15 | $173.78 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $141.25 Typical High $269.15 | Professional | None | $72.44 | $141.25 | $269.15 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $199.53 Typical High $1,148.15 | Facility | None | $66.07 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $549.54 | Professional | None | $79.43 | $177.83 | $549.54 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $245.47 | Professional | None | $52.48 | $109.65 | $245.47 |
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 $28.18 Median $56.23 Typical High $56.23 | Facility | 54 · Surgery only | $28.18 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $51.29 Typical High $56.23 | Professional | 54 · Surgery only | $28.18 | $51.29 | $56.23 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin 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· 3rd of 51
$126
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.