How much rates vary
Facilitymedian $162 · 10th to 90th $72 to $1,445Professionalmedian $240 · 10th to 90th $98 to $617
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 $72.44 Median $162.18 Typical High $162.18 | Facility | None | $72.44 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $169.82 | Professional | None | $70.79 | $138.04 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $467.74 Typical High $851.14 | Facility | None | $53.70 | $467.74 | $851.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $467.74 | Professional | None | $109.65 | $251.19 | $467.74 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $380.19 Typical High $707.95 | Professional | 50 · Both sides | $165.96 | $380.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $1,621.81 | Facility | None | $380.19 | $562.34 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $234.42 Typical High $549.54 | Professional | None | $102.33 | $234.42 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $1,288.25 | Facility | None | $323.59 | $537.03 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $549.54 | Professional | None | $138.04 | $275.42 | $549.54 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $2,398.83 | Facility | None | $120.23 | $263.03 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $616.60 Typical High $1,737.80 | Professional | None | $199.53 | $616.60 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $89.13 Median $213.80 Typical High $512.86 | Professional | None | $89.13 | $213.80 | $512.86 |
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 $36.31 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $36.31 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $14.45 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $123.03 Typical High $123.03 | Facility | 54 · Surgery only | $53.70 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $24.55 Typical High $24.55 | Facility | 55 · Aftercare only | $10.96 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $16.22 Typical High $16.22 | Facility | 56 · Pre-op care only | $7.24 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $34.67 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $13.80 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $53.70 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $10.47 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $13.80 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.92 | $13.80 | $16.98 |
Where Minnesota sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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· 5th of 51
$240
WI $309UT $120
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.