How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,318 to $21,878Professionalmedian $1,698 · 10th to 90th $1,096 to $3,548
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $26,915.35 Typical High $61,659.50 | Facility | None | $5,370.32 | $26,915.35 | $61,659.50 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $32,359.37 Median $61,659.50 Typical High $109,647.82 | Facility | 50 · Both sides | $32,359.37 | $61,659.50 | $109,647.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,202.26 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $1,819.70 Typical High $1,995.26 | Professional | 50 · Both sides | $1,621.81 | $1,819.70 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,570.40 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,698.24 | $1,819.70 | $2,137.96 |
Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $6,309.57 | Facility | None | $2,290.87 | $3,630.78 | $6,309.57 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $6,456.54 Typical High $13,803.84 | Facility | None | $2,691.53 | $6,456.54 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $10,715.19 | Professional | None | $1,584.89 | $2,691.53 | $10,715.19 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $16,982.44 | Facility | None | $5,623.41 | $7,762.47 | $16,982.44 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $5,495.41 | Professional | None | $1,584.89 | $2,570.40 | $5,495.41 |
10 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 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Where Minnesota sits
The same service costs 6.9 times more in Arkansas 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· 31st of 51
$1,820
AR $8,318KY $1,202
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.