How much rates vary
Facilitymedian $550 · 10th to 90th $87 to $1,023Professionalmedian $182 · 10th to 90th $63 to $603
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 $48.98 Median $630.96 Typical High $870.96 | Facility | None | $48.98 | $630.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $138.04 Typical High $239.88 | Professional | None | $48.98 | $138.04 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $35.48 Median $309.03 Typical High $562.34 | Facility | None | $35.48 | $309.03 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $74.13 Median $218.78 Typical High $457.09 | Professional | None | $74.13 | $218.78 | $457.09 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $323.59 Typical High $691.83 | Professional | 50 · Both sides | $109.65 | $323.59 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,584.89 | Facility | None | $346.74 | $537.03 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $177.83 Typical High $537.03 | Professional | None | $69.18 | $177.83 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $1,258.93 | Facility | None | $323.59 | $524.81 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $91.20 Median $229.09 Typical High $537.03 | Professional | None | $91.20 | $229.09 | $537.03 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $309.03 Typical High $1,445.44 | Facility | None | $83.18 | $309.03 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $602.56 Typical High $1,778.28 | Professional | None | $169.82 | $602.56 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $58.88 Median $165.96 Typical High $467.74 | Professional | None | $58.88 | $165.96 | $467.74 |
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 $24.55 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $24.55 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $9.77 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $36.31 Median $123.03 Typical High $123.03 | Facility | 54 · Surgery only | $36.31 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $24.55 Typical High $24.55 | Facility | 55 · Aftercare only | $7.24 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $16.22 Typical High $16.22 | Facility | 56 · Pre-op care only | $4.90 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $24.55 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $9.77 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $109.65 Typical High $125.89 | Professional | 54 · Surgery only | $36.31 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $21.88 Typical High $25.12 | Professional | 55 · Aftercare only | $7.24 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $14.45 Typical High $16.60 | Professional | 56 · Pre-op care only | $4.90 | $14.45 | $16.60 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Virginia. 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
$229
AK $257VA $66.07
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.