How much rates vary
Facilitymedian $1,122 · 10th to 90th $363 to $2,399Professionalmedian $417 · 10th to 90th $123 to $1,349
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 $79.43 Median $1,659.59 Typical High $2,398.83 | Facility | None | $79.43 | $1,659.59 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $302.00 Typical High $398.11 | Professional | None | $79.43 | $302.00 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,691.53 | Facility | None | $870.96 | $1,380.38 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,412.54 Median $2,630.27 Typical High $4,677.35 | Facility | 50 · Both sides | $1,412.54 | $2,630.27 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $446.68 Typical High $1,071.52 | Professional | None | $138.04 | $446.68 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $676.08 Typical High $1,584.89 | Professional | 50 · Both sides | $204.17 | $676.08 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,778.28 | Facility | None | $575.44 | $933.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $562.34 Typical High $1,548.82 | Professional | None | $181.97 | $562.34 | $1,548.82 |
Health Partners Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,513.56 | Facility | None | $537.03 | $870.96 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $537.03 Typical High $1,348.96 | Professional | None | $165.96 | $537.03 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $933.25 Typical High $2,137.96 | Facility | None | $186.21 | $933.25 | $2,137.96 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,230.27 Typical High $1,995.26 | Professional | None | $588.84 | $1,230.27 | $1,995.26 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $120.23 Median $354.81 Typical High $1,621.81 | Professional | None | $120.23 | $354.81 | $1,621.81 |
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 $39.81 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $39.81 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $16.22 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $60.26 Median $269.15 Typical High $269.15 | Facility | 54 · Surgery only | $60.26 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.02 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $12.02 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $39.81 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $16.22 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $208.93 Typical High $269.15 | Professional | 54 · Surgery only | $60.26 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $41.69 Typical High $53.70 | Professional | 55 · Aftercare only | $12.02 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $7.94 | $27.54 | $36.31 |
Where Minnesota sits
The same service costs 5.5 times more in Connecticut 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
CT $3,114MT $570
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.