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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $257.04 | Facility | None | $12.59 | $19.95 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.22 Median $194.98 Typical High $239.88 | Professional | None | $11.22 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $47.86 | Facility | None | $19.05 | $30.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $16.22 | Professional | None | $12.88 | $14.13 | $16.22 |
Health Partners Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $46.77 | Facility | None | $16.98 | $27.54 | $46.77 |
Health Partners Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $20.89 | Facility | None | $10.00 | $12.30 | $20.89 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $6,165.95 | Professional | None | $12.30 | $12.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $7.94 Median $12.30 Typical High $125.89 | Professional | 54 · Surgery only | $7.94 | $12.30 | $125.89 |
Where Minnesota sits
The same service costs 10.0 times more in Oregon than in Virginia. 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· 28th of 51
$16.22
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.