How much rates vary
Facilitymedian $219 · 10th to 90th $55 to $1,445Professionalmedian $95 · 10th to 90th $47 to $182
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 $34.67 Median $218.78 Typical High $1,949.84 | Facility | None | $34.67 | $218.78 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $83.18 | Professional | None | $34.67 | $54.95 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $1,318.26 | Facility | None | $398.11 | $741.31 | $1,318.26 |
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 $56.23 Median $100.00 Typical High $162.18 | Professional | None | $56.23 | $100.00 | $162.18 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $85.11 Median $147.91 Typical High $245.47 | Professional | 50 · Both sides | $85.11 | $147.91 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $263.03 | Facility | None | $91.20 | $141.25 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $112.20 Typical High $190.55 | Professional | None | $58.88 | $112.20 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $223.87 | Facility | None | $79.43 | $128.82 | $223.87 |
Health Partners Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $181.97 | Professional | None | $57.54 | $102.33 | $181.97 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $309.03 Typical High $1,445.44 | Facility | None | $66.07 | $309.03 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $281.84 | Professional | None | $61.66 | $134.90 | $281.84 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $239.88 Typical High $407.38 | Professional | 50 · Both sides | $147.91 | $239.88 | $407.38 |
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 $41.69 Median $77.62 Typical High $158.49 | Professional | None | $41.69 | $77.62 | $158.49 |
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 $17.38 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $17.38 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $7.08 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $26.30 Median $40.74 Typical High $40.74 | Facility | 54 · Surgery only | $26.30 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.25 Median $8.13 Typical High $8.13 | Facility | 55 · Aftercare only | $5.25 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $3.55 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.47 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $38.90 Typical High $40.74 | Professional | 54 · Surgery only | $26.30 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $7.76 Typical High $8.13 | Professional | 55 · Aftercare only | $5.25 | $7.76 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.25 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.55 | $5.25 | $5.50 |
Where Minnesota sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$102
AK $174FL $42.66
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.