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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | None | $83.18 | $100.00 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $257.04 | Facility | None | $85.11 | $134.90 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $239.88 | Professional | None | $77.62 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $338.84 | Facility | None | $138.04 | $218.78 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | None | $93.33 | $102.33 | $117.49 |
Health Partners Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $338.84 | Facility | None | $123.03 | $199.53 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $138.04 | Facility | None | $93.33 | $93.33 | $138.04 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $851.14 | Professional | None | $138.04 | $138.04 | $851.14 |
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 $52.48 Median $81.28 Typical High $125.89 | Professional | 54 · Surgery only | $52.48 | $81.28 | $125.89 |
Where Minnesota sits
The same service costs 1.8 times more in North Dakota 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· 13th of 51
$126
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.