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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None | $257.04 | $257.04 | $323.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $5,623.41 Typical High $13,182.57 | Facility | None | $630.96 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $912.01 | Professional | None | $389.05 | $537.03 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,258.93 | Facility | None | $416.87 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,174.90 | Professional | None | $478.63 | $758.58 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Facility | None | $371.54 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,047.13 | Professional | None | $426.58 | $676.08 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $2,137.96 Typical High $6,760.83 | Facility | None | $446.68 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $1,949.84 | Professional | None | $316.23 | $588.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $1,096.48 | Professional | None | $302.00 | $549.54 | $1,096.48 |
6 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 $190.55 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | 54 · Surgery only | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $30.20 |
Where Minnesota sits
The same service costs 7.2 times more in Oklahoma than in New York. 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· 12th of 51
$603
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.