How much rates vary
Facilitymedian $309 · 10th to 90th $93 to $871Professionalmedian $182 · 10th to 90th $87 to $339
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 $67.61 Median $309.03 Typical High $870.96 | Facility | None | $67.61 | $309.03 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $107.15 | Professional | None | $67.61 | $97.72 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $1,862.09 | Facility | None | $354.81 | $776.25 | $1,862.09 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $524.81 Median $954.99 Typical High $1,778.28 | Facility | 50 · Both sides | $524.81 | $954.99 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $309.03 | Professional | None | $109.65 | $186.21 | $309.03 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $281.84 Typical High $467.74 | Professional | 50 · Both sides | $165.96 | $281.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $489.78 | Facility | None | $165.96 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $354.81 | Professional | None | $114.82 | $213.80 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $416.87 | Facility | None | $147.91 | $239.88 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $338.84 | Professional | None | $112.20 | $194.98 | $338.84 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $1,148.15 | Facility | None | $120.23 | $302.00 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $724.44 | Professional | None | $107.15 | $245.47 | $724.44 |
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 $77.62 Median $147.91 Typical High $302.00 | Professional | None | $77.62 | $147.91 | $302.00 |
8 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 $33.88 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $33.88 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $13.80 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $10.23 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.23 Typical High $10.23 | Facility | 56 · Pre-op care only | $6.92 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $33.88 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.13 Typical High $15.14 | Professional | 55 · Aftercare only | $10.23 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.55 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.92 | $9.55 | $10.23 |
Where Minnesota sits
The same service costs 3.6 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
$191
AK $275KY $75.86
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.