How much rates vary
Facilitymedian $186 · 10th to 90th $51 to $832Professionalmedian $138 · 10th to 90th $68 to $275
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 $51.29 Median $83.18 Typical High $83.18 | Facility | None | $51.29 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $83.18 | Professional | None | $51.29 | $79.43 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $575.44 Typical High $2,187.76 | Facility | None | $208.93 | $575.44 | $2,187.76 |
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 $77.62 Median $141.25 Typical High $239.88 | Professional | None | $77.62 | $141.25 | $239.88 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $208.93 Typical High $363.08 | Professional | 50 · Both sides | $117.49 | $208.93 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $407.38 | Facility | None | $134.90 | $208.93 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $295.12 | Professional | None | $85.11 | $169.82 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $275.42 | Professional | None | $85.11 | $151.36 | $275.42 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $1,148.15 | Facility | None | $87.10 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $588.84 | Professional | None | $85.11 | $177.83 | $588.84 |
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 $58.88 Median $117.49 Typical High $245.47 | Professional | None | $58.88 | $117.49 | $245.47 |
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 $25.70 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $25.70 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $10.23 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.02 Median $61.66 Typical High $61.66 | Facility | 54 · Surgery only | $38.02 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $7.59 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.32 Typical High $8.32 | Facility | 56 · Pre-op care only | $5.13 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $25.70 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $10.23 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $58.88 Typical High $61.66 | Professional | 54 · Surgery only | $38.02 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $11.75 Typical High $12.30 | Professional | 55 · Aftercare only | $7.59 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.76 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.13 | $7.76 | $8.32 |
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· 4th of 51
$141
AK $204KY $56.23
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.