How much rates vary
Facilitymedian $76 · 10th to 90th $17 to $676Professionalmedian $48 · 10th to 90th $23 to $95
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 $17.38 Median $28.84 Typical High $28.84 | Facility | None | $17.38 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $32.36 | Professional | None | $17.38 | $28.18 | $32.36 |
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 $26.30 Median $47.86 Typical High $85.11 | Professional | None | $26.30 | $47.86 | $85.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $72.44 Typical High $125.89 | Professional | 50 · Both sides | $38.90 | $72.44 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $141.25 | Facility | None | $46.77 | $74.13 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $102.33 | Professional | None | $30.20 | $57.54 | $102.33 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $117.49 | Facility | None | $41.69 | $67.61 | $117.49 |
Health Partners Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $97.72 | Professional | None | $28.18 | $51.29 | $97.72 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $177.83 Typical High $1,230.27 | Facility | None | $34.67 | $177.83 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $208.93 | Professional | None | $30.90 | $61.66 | $208.93 |
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 $21.38 Median $41.69 Typical High $89.13 | Professional | None | $21.38 | $41.69 | $89.13 |
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 $8.51 Median $14.45 Typical High $14.45 | Facility | 52 · Reduced service | $8.51 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $3.47 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.57 Median $4.37 Typical High $4.37 | Facility | 55 · Aftercare only | $2.57 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.88 Typical High $2.88 | Facility | 56 · Pre-op care only | $1.74 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $8.51 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $3.47 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $4.17 Typical High $4.37 | Professional | 55 · Aftercare only | $2.57 | $4.17 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.74 | $2.82 | $2.88 |
Where Minnesota sits
The same service costs 3.0 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· 5th of 51
$47.86
AK $69.18VA $22.91
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.