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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | None | $27.54 | $28.18 | $28.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $257.04 | Facility | None | $23.44 | $45.71 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $20.89 Median $194.98 Typical High $239.88 | Professional | None | $20.89 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $87.10 | Facility | None | $35.48 | $56.23 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $30.20 | Professional | None | $23.99 | $26.30 | $30.20 |
Health Partners Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $87.10 | Facility | None | $31.62 | $51.29 | $87.10 |
Health Partners Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $26.30 Typical High $43.65 | Facility | None | $15.85 | $26.30 | $43.65 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $134.90 | Professional | None | $23.44 | $26.30 | $134.90 |
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 $13.18 Median $20.42 Typical High $125.89 | Professional | 54 · Surgery only | $13.18 | $20.42 | $125.89 |
Where Minnesota sits
The same service costs 4.7 times more in Oregon than in Washington, DC. 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· 42nd of 51
$30.20
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.