How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,047 to $7,244Professionalmedian $933 · 10th to 90th $214 to $1,905
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $1,380.38 | Professional | None | $758.58 | $1,380.38 | $1,380.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,047.13 Median $5,754.40 Typical High $13,803.84 | Facility | None | $1,047.13 | $5,754.40 | $13,803.84 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,244.36 Median $13,182.57 Typical High $24,547.09 | Facility | 50 · Both sides | $7,244.36 | $13,182.57 | $24,547.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $263.03 | Professional | None | $213.80 | $239.88 | $263.03 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $354.81 Typical High $398.11 | Professional | 50 · Both sides | $316.23 | $354.81 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,454.71 | Professional | None | $933.25 | $1,412.54 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,238.72 | Professional | None | $933.25 | $1,318.26 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $9,332.54 | Facility | None | $1,995.26 | $2,884.03 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Where Minnesota sits
The same service costs 67.6 times more in Oklahoma 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.
Minnesota· 28th of 51
$1,380
OK $5,370MT $79.43
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.