How much rates vary
Facilitymedian $302 · 10th to 90th $105 to $977Professionalmedian $269 · 10th to 90th $135 to $490
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 $104.71 Median $144.54 Typical High $144.54 | Facility | None | $104.71 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $144.54 | Professional | None | $104.71 | $141.25 | $144.54 |
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 $165.96 Median $288.40 Typical High $446.68 | Professional | None | $165.96 | $288.40 | $446.68 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $426.58 Typical High $676.08 | Professional | 50 · Both sides | $245.47 | $426.58 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $707.95 | Facility | None | $239.88 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $524.81 | Professional | None | $173.78 | $323.59 | $524.81 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $602.56 | Facility | None | $213.80 | $346.74 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $489.78 | Professional | None | $173.78 | $302.00 | $489.78 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $288.40 Typical High $1,148.15 | Facility | None | $125.89 | $288.40 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $1,071.52 | Professional | None | $154.88 | $316.23 | $1,071.52 |
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 $123.03 Median $229.09 Typical High $446.68 | Professional | None | $123.03 | $229.09 | $446.68 |
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 $52.48 Median $72.44 Typical High $72.44 | Facility | 52 · Reduced service | $52.48 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $20.89 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $15.85 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $10.47 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $20.89 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $21.38 Typical High $21.88 | Professional | 55 · Aftercare only | $15.85 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $14.13 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.47 | $14.13 | $14.45 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$269
AK $437FL $110
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.