How much rates vary
Facilitymedian $263 · 10th to 90th $91 to $447Professionalmedian $117 · 10th to 90th $55 to $234
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 $70.79 Median $263.03 Typical High $416.87 | Facility | None | $70.79 | $263.03 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $95.50 | Professional | None | $40.74 | $67.61 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $457.09 Typical High $977.24 | Facility | None | $173.78 | $457.09 | $977.24 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $257.04 Median $467.74 Typical High $851.14 | Facility | 50 · Both sides | $257.04 | $467.74 | $851.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $208.93 | Professional | None | $69.18 | $128.82 | $208.93 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $194.98 Typical High $309.03 | Professional | 50 · Both sides | $104.71 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $346.74 | Facility | None | $114.82 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $251.19 | Professional | None | $69.18 | $134.90 | $251.19 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $288.40 | Facility | None | $102.33 | $165.96 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $234.42 | Professional | None | $67.61 | $123.03 | $234.42 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $851.14 | Facility | None | $83.18 | $213.80 | $851.14 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $177.83 Typical High $501.19 | Professional | None | $72.44 | $177.83 | $501.19 |
United Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,778.28 | Facility | None | $125.89 | $380.19 | $1,778.28 |
United Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $204.17 | Professional | None | $46.77 | $97.72 | $204.17 |
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 $20.42 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $20.42 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $8.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $6.17 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $4.07 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $20.42 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $8.13 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.55 Typical High $10.72 | Professional | 55 · Aftercare only | $6.17 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.46 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.07 | $6.46 | $7.08 |
Where Minnesota sits
The same service costs 4.0 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· 2nd of 51
$145
AK $195KY $48.98
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.