How much rates vary
Facilitymedian $355 · 10th to 90th $63 to $3,162Professionalmedian $240 · 10th to 90th $105 to $513
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 $63.10 Median $141.25 Typical High $141.25 | Facility | None | $63.10 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $123.03 Typical High $141.25 | Professional | None | $63.10 | $123.03 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $2,630.27 Typical High $6,165.95 | Facility | None | $165.96 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,235.94 Median $6,025.60 Typical High $10,715.19 | Facility | 50 · Both sides | $3,235.94 | $6,025.60 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $251.19 Typical High $436.52 | Professional | None | $114.82 | $251.19 | $436.52 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $380.19 Typical High $660.69 | Professional | 50 · Both sides | $169.82 | $380.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $707.95 | Facility | None | $234.42 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $616.60 | Professional | None | $141.25 | $281.84 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $602.56 | Facility | None | $213.80 | $346.74 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $524.81 | Professional | None | $128.82 | $251.19 | $524.81 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $1,202.26 Typical High $3,467.37 | Facility | None | $120.23 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $398.11 Typical High $676.08 | Professional | None | $173.78 | $398.11 | $676.08 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $93.33 Median $223.87 Typical High $549.54 | Professional | None | $93.33 | $223.87 | $549.54 |
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 $31.62 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $31.62 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $12.59 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $46.77 Median $107.15 Typical High $107.15 | Facility | 54 · Surgery only | $46.77 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $9.33 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.31 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $6.31 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $61.66 Typical High $70.79 | Professional | 52 · Reduced service | $31.62 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $24.55 Typical High $28.84 | Professional | 53 · Discontinued | $12.59 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $91.20 Typical High $107.15 | Professional | 54 · Surgery only | $46.77 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $18.20 Typical High $21.38 | Professional | 55 · Aftercare only | $9.33 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $12.30 Typical High $14.45 | Professional | 56 · Pre-op care only | $6.31 | $12.30 | $14.45 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$257
AK $437HI $89.13
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.