How much rates vary
Facilitymedian $245 · 10th to 90th $85 to $525Professionalmedian $126 · 10th to 90th $62 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 $38.90 Median $234.42 Typical High $426.58 | Facility | None | $38.90 | $234.42 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $93.33 | Professional | None | $38.90 | $81.28 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,174.90 | Facility | None | $208.93 | $562.34 | $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 $67.61 Median $144.54 Typical High $251.19 | Professional | None | $67.61 | $144.54 | $251.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $218.78 Typical High $380.19 | Professional | 50 · Both sides | $102.33 | $218.78 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $416.87 | Facility | None | $141.25 | $218.78 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $295.12 | Professional | None | $69.18 | $141.25 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $354.81 | Facility | None | $125.89 | $199.53 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $64.57 Median $131.83 Typical High $281.84 | Professional | None | $64.57 | $131.83 | $281.84 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $257.04 Typical High $1,000.00 | Facility | None | $83.18 | $257.04 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $616.60 | Professional | None | $91.20 | $208.93 | $616.60 |
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 $54.95 Median $114.82 Typical High $257.04 | Professional | None | $54.95 | $114.82 | $257.04 |
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 $19.50 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $19.50 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $16.98 Typical High $16.98 | Facility | 53 · Discontinued | $7.76 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.89 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $5.89 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.89 Median $8.51 Typical High $8.51 | Facility | 56 · Pre-op care only | $3.89 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $19.50 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $7.76 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $12.02 Typical High $12.88 | Professional | 55 · Aftercare only | $5.89 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $8.13 Typical High $8.51 | Professional | 56 · Pre-op care only | $3.89 | $8.13 | $8.51 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 3rd of 51
$151
AK $214VA $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.