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 $144.54 Median $218.78 Typical High $218.78 | Facility | None | $144.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $269.15 | Professional | None | $144.54 | $181.97 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $1,096.48 Typical High $7,244.36 | Facility | None | $407.38 | $1,096.48 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $724.44 | Professional | None | $229.09 | $416.87 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,148.15 | Facility | None | $389.05 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $1,000.00 | Professional | None | $257.04 | $524.81 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $977.24 | Facility | None | $346.74 | $562.34 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $912.01 | Professional | None | $295.12 | $501.19 | $912.01 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $1,412.54 | Facility | None | $125.89 | $363.08 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $602.56 Typical High $1,737.80 | Professional | None | $245.47 | $602.56 | $1,737.80 |
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 $173.78 Median $363.08 Typical High $758.58 | Professional | None | $173.78 | $363.08 | $758.58 |
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 $107.15 Median $165.96 Typical High $165.96 | Facility | 54 · Surgery only | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $147.91 Typical High $165.96 | Professional | 54 · Surgery only | $107.15 | $147.91 | $165.96 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska 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· 4th of 51
$417
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.