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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None | $64.57 | $74.13 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $288.40 Median $831.76 Typical High $11,481.54 | Facility | None | $288.40 | $831.76 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $229.09 | Professional | None | $177.83 | $208.93 | $229.09 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $128.82 | Facility | None | $89.13 | $120.23 | $128.82 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
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 $54.95 Median $54.95 Typical High $54.95 | Facility | 54 · Surgery only | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | 54 · Surgery only | $48.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $9.77 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $7.41 | $7.41 |
Where Minnesota sits
The same service costs 123.0 times more in Alabama than in New Jersey. 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· 6th of 51
$186
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.