How much rates vary
Facilitymedian $200 · 10th to 90th $65 to $1,096Professionalmedian $162 · 10th to 90th $79 to $302
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 $64.57 Median $89.13 Typical High $89.13 | Facility | None | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $89.13 | Professional | None | $64.57 | $77.62 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $6,918.31 | Facility | None | $398.11 | $1,071.52 | $6,918.31 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,096.48 Typical High $1,949.84 | Facility | 50 · Both sides | $588.84 | $1,096.48 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $275.42 | Professional | None | $102.33 | $173.78 | $275.42 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $263.03 Typical High $416.87 | Professional | 50 · Both sides | $154.88 | $263.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $426.58 | Facility | None | $144.54 | $223.87 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $316.23 | Professional | None | $107.15 | $194.98 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $213.80 Typical High $363.08 | Facility | None | $128.82 | $213.80 | $363.08 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $295.12 | Professional | None | $107.15 | $186.21 | $295.12 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $229.09 Typical High $1,148.15 | Facility | None | $112.20 | $229.09 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $199.53 Typical High $645.65 | Professional | None | $93.33 | $199.53 | $645.65 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $275.42 | Professional | None | $74.13 | $138.04 | $275.42 |
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 $32.36 Median $43.65 Typical High $43.65 | Facility | 52 · Reduced service | $32.36 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $12.88 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $48.98 Median $66.07 Typical High $66.07 | Facility | 54 · Surgery only | $48.98 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.77 Median $13.18 Typical High $13.18 | Facility | 55 · Aftercare only | $9.77 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $6.46 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $32.36 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $12.88 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $64.57 Typical High $66.07 | Professional | 54 · Surgery only | $48.98 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.88 Typical High $13.18 | Professional | 55 · Aftercare only | $9.77 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.51 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.46 | $8.51 | $8.91 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 4th of 51
$166
AK $263KY $69.18
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.