How much rates vary
Facilitymedian $316 · 10th to 90th $100 to $776Professionalmedian $166 · 10th to 90th $79 to $347
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 $57.54 Median $194.98 Typical High $741.31 | Facility | None | $57.54 | $194.98 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $117.49 | Professional | None | $57.54 | $93.33 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $1,122.02 | Facility | None | $389.05 | $630.96 | $1,122.02 |
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 $91.20 Median $177.83 Typical High $295.12 | Professional | None | $91.20 | $177.83 | $295.12 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $263.03 Typical High $446.68 | Professional | 50 · Both sides | $138.04 | $263.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $478.63 | Facility | None | $169.82 | $257.04 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $346.74 | Professional | None | $97.72 | $190.55 | $346.74 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $407.38 | Facility | None | $144.54 | $239.88 | $407.38 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $331.13 | Professional | None | $95.50 | $173.78 | $331.13 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $1,202.26 | Facility | None | $112.20 | $323.59 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $302.00 Typical High $741.31 | Professional | None | $117.49 | $302.00 | $741.31 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $489.78 Typical High $1,096.48 | Professional | 50 · Both sides | $288.40 | $489.78 | $1,096.48 |
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 $72.44 Median $138.04 Typical High $295.12 | Professional | None | $72.44 | $138.04 | $295.12 |
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 $28.84 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $28.84 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $11.48 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $42.66 Median $74.13 Typical High $74.13 | Facility | 54 · Surgery only | $42.66 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $8.51 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $5.75 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $28.84 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $11.48 | $18.62 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $69.18 Typical High $74.13 | Professional | 54 · Surgery only | $42.66 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.80 Typical High $15.14 | Professional | 55 · Aftercare only | $8.51 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $9.33 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.75 | $9.33 | $10.00 |
Where Minnesota sits
The same service costs 3.7 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· 3rd of 51
$178
AK $275KY $74.13
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.