How much rates vary
Facilitymedian $93 · 10th to 90th $19 to $631Professionalmedian $55 · 10th to 90th $25 to $115
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 $18.62 Median $35.48 Typical High $35.48 | Facility | None | $18.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $35.48 Typical High $36.31 | Professional | None | $18.62 | $35.48 | $36.31 |
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 $26.92 Median $57.54 Typical High $102.33 | Professional | None | $26.92 | $57.54 | $102.33 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $87.10 Typical High $154.88 | Professional | 50 · Both sides | $40.74 | $87.10 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $91.20 Typical High $173.78 | Facility | None | $58.88 | $91.20 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $125.89 | Professional | None | $32.36 | $63.10 | $125.89 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $144.54 | Facility | None | $52.48 | $83.18 | $144.54 |
Health Partners Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $120.23 | Professional | None | $30.90 | $58.88 | $120.23 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $177.83 Typical High $1,148.15 | Facility | None | $38.90 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $323.59 | Professional | None | $38.90 | $79.43 | $323.59 |
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 $22.39 Median $48.98 Typical High $112.20 | Professional | None | $22.39 | $48.98 | $112.20 |
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 $9.33 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $9.33 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $3.72 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.75 Median $5.37 Typical High $5.37 | Facility | 55 · Aftercare only | $2.75 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.86 Median $3.55 Typical High $3.55 | Facility | 56 · Pre-op care only | $1.86 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $9.33 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $3.72 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $5.13 Typical High $5.37 | Professional | 55 · Aftercare only | $2.75 | $5.13 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $3.47 Typical High $3.55 | Professional | 56 · Pre-op care only | $1.86 | $3.47 | $3.55 |
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· 4th of 51
$57.54
AK $91.20VA $23.99
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.