How much rates vary
Facilitymedian $117 · 10th to 90th $28 to $676Professionalmedian $74 · 10th to 90th $38 to $148
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 $27.54 Median $44.67 Typical High $44.67 | Facility | None | $27.54 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $44.67 | Professional | None | $27.54 | $43.65 | $44.67 |
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 $44.67 Median $77.62 Typical High $131.83 | Professional | None | $44.67 | $77.62 | $131.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $117.49 Typical High $199.53 | Professional | 50 · Both sides | $67.61 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $218.78 | Facility | None | $74.13 | $114.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $91.20 Typical High $158.49 | Professional | None | $46.77 | $91.20 | $158.49 |
Health Partners Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $181.97 | Facility | None | $66.07 | $104.71 | $181.97 |
Health Partners Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $151.36 | Professional | None | $45.71 | $83.18 | $151.36 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $177.83 Typical High $1,148.15 | Facility | None | $52.48 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $331.13 | Professional | None | $48.98 | $97.72 | $331.13 |
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 $33.88 Median $66.07 Typical High $138.04 | Professional | None | $33.88 | $66.07 | $138.04 |
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 $13.80 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $13.80 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $5.50 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.17 Median $6.76 Typical High $6.76 | Facility | 55 · Aftercare only | $4.17 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.75 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $2.75 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $13.80 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $5.50 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $6.46 Typical High $6.76 | Professional | 55 · Aftercare only | $4.17 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $4.37 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.75 | $4.37 | $4.47 |
Where Minnesota sits
The same service costs 3.3 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· 4th of 51
$77.62
AK $112VA $33.88
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.