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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | None | $436.52 | $436.52 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $8,511.38 Typical High $18,620.87 | Facility | None | $4,073.80 | $8,511.38 | $18,620.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,621.81 | Professional | None | $645.65 | $933.25 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,290.87 | Facility | None | $758.58 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,041.74 | Professional | None | $724.44 | $1,288.25 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,862.09 | Professional | None | $776.25 | $1,230.27 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,754.23 Typical High $6,918.31 | Facility | None | $812.83 | $2,754.23 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,023.29 Typical High $4,168.69 | Professional | None | $524.81 | $1,023.29 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $1,778.28 | Professional | None | $467.74 | $870.96 | $1,778.28 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $323.59 | $323.59 | $398.11 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska 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· 6th of 51
$1,047
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.