How much rates vary
Facilitymedian $708 · 10th to 90th $138 to $6,761Professionalmedian $479 · 10th to 90th $214 to $955
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 $138.04 Median $269.15 Typical High $269.15 | Facility | None | $138.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $269.15 | Professional | None | $138.04 | $229.09 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $14,454.40 | Facility | None | $2,951.21 | $7,244.36 | $14,454.40 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $7,585.78 Median $13,803.84 Typical High $25,703.96 | Facility | 50 · Both sides | $7,585.78 | $13,803.84 | $25,703.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $831.76 | Professional | None | $229.09 | $489.78 | $831.76 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $741.31 Typical High $1,258.93 | Professional | 50 · Both sides | $346.74 | $741.31 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,318.26 | Facility | None | $446.68 | $691.83 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $1,148.15 | Professional | None | $309.03 | $588.84 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,122.02 | Facility | None | $398.11 | $645.65 | $1,122.02 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $524.81 Typical High $1,000.00 | Professional | None | $275.42 | $524.81 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $2,089.30 Typical High $5,888.44 | Facility | None | $245.47 | $2,089.30 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $758.58 Typical High $1,258.93 | Professional | None | $323.59 | $758.58 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $190.55 Median $467.74 Typical High $1,023.29 | Professional | None | $190.55 | $467.74 | $1,023.29 |
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 $69.18 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $69.18 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $27.54 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $102.33 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $102.33 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $20.42 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $13.80 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $69.18 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $27.54 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $169.82 Typical High $199.53 | Professional | 54 · Surgery only | $102.33 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $20.42 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $22.91 Typical High $26.92 | Professional | 56 · Pre-op care only | $13.80 | $22.91 | $26.92 |
Where Minnesota sits
The same service costs 5.8 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· 3rd of 51
$501
AK $955HI $166
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.