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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $229.09 | Facility | None | $93.33 | $144.54 | $229.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $169.82 | Professional | None | $74.13 | $97.72 | $169.82 |
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 $95.50 Median $141.25 Typical High $213.80 | Professional | None | $95.50 | $141.25 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $208.93 | Facility | None | $74.13 | $117.49 | $208.93 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | None | $83.18 | $125.89 | $194.98 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $323.59 Typical High $1,445.44 | Facility | None | $91.20 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $213.80 | Professional | None | $75.86 | $117.49 | $213.80 |
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 $64.57 Median $117.49 Typical High $218.78 | Professional | None | $64.57 | $117.49 | $218.78 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 54 · Surgery only | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | 54 · Surgery only | $41.69 | $41.69 | $53.70 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 8th of 51
$110
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.