How much rates vary
Facilitymedian $309 · 10th to 90th $79 to $4,898Professionalmedian $324 · 10th to 90th $100 to $1,148
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 $79.43 Median $309.03 Typical High $4,897.79 | Facility | None | $79.43 | $309.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $245.47 Typical High $371.54 | Professional | None | $79.43 | $245.47 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $57.54 Median $251.19 Typical High $398.11 | Facility | None | $57.54 | $251.19 | $398.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $123.03 Median $407.38 Typical High $870.96 | Professional | None | $123.03 | $407.38 | $870.96 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $602.56 Typical High $1,318.26 | Professional | 50 · Both sides | $181.97 | $602.56 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $3,019.95 | Facility | None | $707.95 | $1,047.13 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $309.03 Typical High $1,023.29 | Professional | None | $107.15 | $309.03 | $1,023.29 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $2,398.83 | Facility | None | $616.60 | $1,000.00 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $426.58 Typical High $1,023.29 | Professional | None | $147.91 | $426.58 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $537.03 Typical High $2,691.53 | Facility | None | $134.90 | $537.03 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $1,148.15 Typical High $2,691.53 | Professional | None | $331.13 | $1,148.15 | $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 $95.50 Median $302.00 Typical High $912.01 | Professional | None | $95.50 | $302.00 | $912.01 |
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 $39.81 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $39.81 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $15.85 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $58.88 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $11.75 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $7.94 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $123.03 Typical High $158.49 | Professional | 52 · Reduced service | $39.81 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $48.98 Typical High $63.10 | Professional | 53 · Discontinued | $15.85 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $186.21 Typical High $234.42 | Professional | 54 · Surgery only | $58.88 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $37.15 Typical High $46.77 | Professional | 55 · Aftercare only | $11.75 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $24.55 Typical High $31.62 | Professional | 56 · Pre-op care only | $7.94 | $24.55 | $31.62 |
Where Minnesota sits
The same service costs 4.2 times more in Washington 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· 7th of 51
$324
WA $447VA $107
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.