How much rates vary
Facilitymedian $191 · 10th to 90th $65 to $1,514Professionalmedian $229 · 10th to 90th $83 to $794
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 $190.55 Typical High $190.55 | Facility | None | $64.57 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $162.18 Typical High $229.09 | Professional | None | $64.57 | $162.18 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $46.77 Median $407.38 Typical High $741.31 | Facility | None | $46.77 | $407.38 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $97.72 Median $257.04 Typical High $549.54 | Professional | None | $97.72 | $257.04 | $549.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $389.05 Typical High $812.83 | Professional | 50 · Both sides | $147.91 | $389.05 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $1,862.09 | Facility | None | $436.52 | $645.65 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $218.78 Typical High $616.60 | Professional | None | $91.20 | $218.78 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,479.11 | Facility | None | $380.19 | $630.96 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $120.23 Median $275.42 Typical High $630.96 | Professional | None | $120.23 | $275.42 | $630.96 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $2,398.83 | Facility | None | $112.20 | $338.84 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $794.33 Typical High $2,691.53 | Professional | None | $208.93 | $794.33 | $2,691.53 |
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 $77.62 Median $208.93 Typical High $562.34 | Professional | None | $77.62 | $208.93 | $562.34 |
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 $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $32.36 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $12.88 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $48.98 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $48.98 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.77 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $9.77 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $6.46 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $32.36 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $12.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $125.89 Typical High $144.54 | Professional | 54 · Surgery only | $48.98 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $25.12 Typical High $28.84 | Professional | 55 · Aftercare only | $9.77 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $16.98 Typical High $19.05 | Professional | 56 · Pre-op care only | $6.46 | $16.98 | $19.05 |
Where Minnesota sits
The same service costs 3.5 times more in North Carolina than in Indiana. 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· 7th of 51
$224
NC $302IN $85.11
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.