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 $81.28 Median $269.15 Typical High $691.83 | Facility | None | $81.28 | $269.15 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $79.43 Typical High $112.20 | Professional | None | $38.02 | $79.43 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $467.74 Typical High $954.99 | Facility | None | $263.03 | $467.74 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $37.15 Median $114.82 Typical High $251.19 | Professional | None | $37.15 | $114.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $478.63 | Facility | None | $162.18 | $251.19 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $147.91 Typical High $346.74 | Professional | None | $58.88 | $147.91 | $346.74 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $426.58 | Facility | None | $151.36 | $213.80 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $331.13 | Professional | None | $58.88 | $141.25 | $331.13 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $281.84 Typical High $831.76 | Facility | None | $79.43 | $281.84 | $831.76 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $645.65 | Professional | None | $66.07 | $109.65 | $645.65 |
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 $20.89 Median $66.07 Typical High $154.88 | Professional | None | $20.89 | $66.07 | $154.88 |
6 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 $28.84 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $28.84 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.75 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $5.75 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $60.26 Typical High $85.11 | Professional | 54 · Surgery only | $28.84 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $12.02 Typical High $16.98 | Professional | 55 · Aftercare only | $5.75 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.94 Typical High $11.22 | Professional | 56 · Pre-op care only | $3.80 | $7.94 | $11.22 |
Where Minnesota sits
The same service costs 2.8 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· 2nd of 51
$129
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.