How much rates vary
Facilitymedian $832 · 10th to 90th $209 to $3,311Professionalmedian $589 · 10th to 90th $324 to $1,122
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 $208.93 Median $331.13 Typical High $331.13 | Facility | None | $208.93 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $331.13 | Professional | None | $208.93 | $288.40 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $6,918.31 | Facility | None | $1,230.27 | $3,162.28 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $1,023.29 | Professional | None | $354.81 | $616.60 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $223.87 Median $389.05 Typical High $630.96 | Professional | 62 · Two surgeons | $223.87 | $389.05 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,659.59 | Facility | None | $549.54 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $707.95 Typical High $1,258.93 | Professional | None | $354.81 | $707.95 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,380.38 | Facility | None | $489.78 | $794.33 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $1,318.26 | Professional | None | $354.81 | $588.84 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,202.26 Typical High $3,467.37 | Facility | None | $371.54 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $2,511.89 | Professional | None | $416.87 | $794.33 | $2,511.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $1,047.13 | Professional | None | $288.40 | $489.78 | $1,047.13 |
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 $104.71 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $104.71 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $41.69 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $158.49 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $31.62 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $20.89 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $141.25 Typical High $165.96 | Professional | 52 · Reduced service | $104.71 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $57.54 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $213.80 Typical High $245.47 | Professional | 54 · Surgery only | $158.49 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $42.66 Typical High $50.12 | Professional | 55 · Aftercare only | $31.62 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $28.84 Typical High $33.11 | Professional | 56 · Pre-op care only | $20.89 | $28.84 | $33.11 |
Where Minnesota sits
The same service costs 6.1 times more in Michigan than in Montana. 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.
Physician feeFacility fee
MI $4,783MT $790
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.