How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,479 to $9,333Professionalmedian $3,548 · 10th to 90th $1,479 to $6,310
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,479.11 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,413.10 Typical High $12,302.69 | Facility | None | $4,168.69 | $7,413.10 | $12,302.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,748.98 Typical High $20,892.96 | Facility | 50 · Both sides | $6,309.57 | $11,748.98 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $4,168.69 | Professional | None | $3,311.31 | $3,715.35 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $5,011.87 Median $5,623.41 Typical High $6,165.95 | Professional | 50 · Both sides | $5,011.87 | $5,623.41 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,995.26 | $2,818.38 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $7,943.28 | Professional | None | $2,398.83 | $3,715.35 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $7,943.28 | Professional | None | $2,187.76 | $3,715.35 | $7,943.28 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $724.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,071.52 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $144.54 | $147.91 | $147.91 |
Where Minnesota sits
The same service costs 15.8 times more in Wisconsin than in Nebraska. 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· 6th of 51
$3,388
WI $6,026NE $380
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.