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 $32.36 Median $50.12 Typical High $50.12 | Facility | None | $32.36 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $54.95 | Professional | None | $32.36 | $46.77 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $81.28 Median $478.63 Typical High $1,122.02 | Facility | None | $81.28 | $478.63 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,096.48 Typical High $1,949.84 | Facility | 50 · Both sides | $588.84 | $1,096.48 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $151.36 | Professional | None | $52.48 | $91.20 | $151.36 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $138.04 Typical High $229.09 | Professional | 50 · Both sides | $79.43 | $138.04 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $245.47 | Facility | None | $83.18 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $104.71 Typical High $181.97 | Professional | None | $54.95 | $104.71 | $181.97 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $208.93 | Facility | None | $74.13 | $120.23 | $208.93 |
Health Partners Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $169.82 | Professional | None | $54.95 | $95.50 | $169.82 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $199.53 Typical High $1,148.15 | Facility | None | $57.54 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $380.19 | Professional | None | $54.95 | $123.03 | $380.19 |
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 $39.81 Median $75.86 Typical High $154.88 | Professional | None | $39.81 | $75.86 | $154.88 |
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 $24.55 Median $37.15 Typical High $37.15 | Facility | 54 · Surgery only | $24.55 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $34.67 Typical High $37.15 | Professional | 54 · Surgery only | $24.55 | $34.67 | $37.15 |
Where Minnesota sits
The same service costs 3.3 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
$89.13
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.