How much rates vary
Facilitymedian $224 · 10th to 90th $68 to $794Professionalmedian $178 · 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 $100.00 Typical High $100.00 | Facility | None | $67.61 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $117.49 | Professional | None | $67.61 | $95.50 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $575.44 Typical High $1,174.90 | Facility | None | $208.93 | $575.44 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $316.23 Median $588.84 Typical High $1,047.13 | Facility | 50 · Both sides | $316.23 | $588.84 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $309.03 | Professional | None | $107.15 | $186.21 | $309.03 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $281.84 Typical High $457.09 | Professional | 50 · Both sides | $162.18 | $281.84 | $457.09 |
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 $117.49 Median $257.04 Typical High $1,230.27 | Facility | None | $117.49 | $257.04 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $724.44 | Professional | None | $104.71 | $229.09 | $724.44 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $295.12 | Professional | None | $75.86 | $147.91 | $295.12 |
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 $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $33.88 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $13.49 | $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 $6.76 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $6.76 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $13.49 | $18.62 | $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 $6.76 Median $9.33 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.76 | $9.33 | $10.00 |
Where Minnesota sits
The same service costs 3.7 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.
Minnesota· 4th of 51
$182
AK $275KY $74.13
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.