How much rates vary
Facilitymedian $2,188 · 10th to 90th $912 to $5,888Professionalmedian $1,995 · 10th to 90th $912 to $3,631
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | None | $912.01 | $912.01 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,370.32 Typical High $10,715.19 | Facility | None | $2,137.96 | $5,370.32 | $10,715.19 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,162.28 Median $5,754.40 Typical High $10,715.19 | Facility | 50 · Both sides | $3,162.28 | $5,754.40 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,041.74 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $3,090.30 Typical High $5,128.61 | Professional | 50 · Both sides | $2,290.87 | $3,090.30 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $4,365.16 | Facility | None | $1,479.11 | $2,290.87 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,398.83 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,715.35 | Facility | None | $1,318.26 | $2,137.96 | $3,715.35 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,258.93 | $2,238.72 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,513.56 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $7,079.46 | Professional | None | $1,071.52 | $1,862.09 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $3,630.78 | Professional | None | $1,000.00 | $1,698.24 | $3,630.78 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 53 · Discontinued | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $741.31 | Professional | 54 · Surgery only | $676.08 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $100.00 |
Where Minnesota sits
The same service costs 5.7 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.
Physician feeFacility fee
AK $11,225KY $1,973
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.