How much rates vary
Facilitymedian $2,344 · 10th to 90th $468 to $16,982Professionalmedian $1,514 · 10th to 90th $468 to $2,951
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $467.74 | Professional | None | $457.09 | $467.74 | $467.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $11,748.98 Typical High $26,915.35 | Facility | None | $4,365.16 | $11,748.98 | $26,915.35 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $14,125.38 Median $26,302.68 Typical High $47,863.01 | Facility | 50 · Both sides | $14,125.38 | $26,302.68 | $47,863.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,630.27 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $3,548.13 Median $3,981.07 Typical High $4,365.16 | Professional | 50 · Both sides | $3,548.13 | $3,981.07 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $2,454.71 | Professional | None | $660.69 | $954.99 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,187.76 Typical High $6,760.83 | Facility | None | $870.96 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $3,715.35 | Professional | None | $537.03 | $977.24 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,819.70 | Professional | None | $501.19 | $891.25 | $1,819.70 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $338.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $46.77 | $46.77 |
Where Minnesota sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 4th of 51
$1,698
TX $3,631PA $501
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.