How much rates vary
Facilitymedian $186 · 10th to 90th $16 to $724Professionalmedian $81 · 10th to 90th $21 to $263
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 $15.85 Median $81.28 Typical High $81.28 | Facility | None | $15.85 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $67.61 Typical High $81.28 | Professional | None | $15.85 | $67.61 | $81.28 |
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 $24.55 Median $89.13 Typical High $218.78 | Professional | None | $24.55 | $89.13 | $218.78 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $131.83 Typical High $331.13 | Professional | 50 · Both sides | $36.31 | $131.83 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $398.11 | Facility | None | $134.90 | $208.93 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $102.33 Typical High $281.84 | Professional | None | $27.54 | $102.33 | $281.84 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $331.13 | Facility | None | $120.23 | $190.55 | $331.13 |
Health Partners Setting Professional Modifier None Typical Low $26.30 Median $100.00 Typical High $269.15 | Professional | None | $26.30 | $100.00 | $269.15 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $213.80 Typical High $1,148.15 | Facility | None | $31.62 | $213.80 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $190.55 Typical High $588.84 | Professional | None | $87.10 | $190.55 | $588.84 |
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 $19.05 Median $69.18 Typical High $257.04 | Professional | None | $19.05 | $69.18 | $257.04 |
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 $7.94 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $7.94 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $3.16 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.40 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $2.40 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.58 Median $8.13 Typical High $8.13 | Facility | 56 · Pre-op care only | $1.58 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $35.48 Typical High $40.74 | Professional | 52 · Reduced service | $7.94 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $14.13 Typical High $16.22 | Professional | 53 · Discontinued | $3.16 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $10.47 Typical High $12.30 | Professional | 55 · Aftercare only | $2.40 | $10.47 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $7.08 Typical High $8.13 | Professional | 56 · Pre-op care only | $1.58 | $7.08 | $8.13 |
Where Minnesota sits
The same service costs 5.9 times more in Iowa 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· 8th of 51
$93.33
IA $117KY $19.95
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.