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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | None | $114.82 | $114.82 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $138.04 | Facility | None | $58.88 | $77.62 | $138.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | None | $70.79 | $79.43 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $186.21 Typical High $354.81 | Facility | None | $117.49 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $302.00 | Professional | None | $120.23 | $186.21 | $302.00 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $295.12 | Facility | None | $104.71 | $169.82 | $295.12 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $288.40 | Professional | None | $104.71 | $165.96 | $288.40 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,445.44 | Facility | None | $125.89 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $169.82 Typical High $933.25 | Professional | None | $91.20 | $169.82 | $933.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $91.20 Median $162.18 Typical High $389.05 | Professional | None | $91.20 | $162.18 | $389.05 |
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 $85.11 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 54 · Surgery only | $85.11 | $85.11 | $112.20 |
Where Minnesota sits
The same service costs 4.8 times more in Indiana than in Florida. 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· 45th of 51
$132
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.