How much rates vary
Facilitymedian $229 · 10th to 90th $74 to $912Professionalmedian $200 · 10th to 90th $98 to $372
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 $74.13 Median $109.65 Typical High $109.65 | Facility | None | $74.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $109.65 | Professional | None | $74.13 | $104.71 | $109.65 |
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 $120.23 Median $213.80 Typical High $338.84 | Professional | None | $120.23 | $213.80 | $338.84 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $323.59 Typical High $512.86 | Professional | 50 · Both sides | $181.97 | $323.59 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $524.81 | Facility | None | $177.83 | $275.42 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $380.19 | Professional | None | $123.03 | $234.42 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $446.68 | Facility | None | $158.49 | $257.04 | $446.68 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $363.08 | Professional | None | $123.03 | $213.80 | $363.08 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $1,148.15 | Facility | None | $125.89 | $229.09 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $794.33 | Professional | None | $112.20 | $239.88 | $794.33 |
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 $89.13 Median $158.49 Typical High $338.84 | Professional | None | $89.13 | $158.49 | $338.84 |
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 $37.15 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $37.15 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $21.88 Typical High $21.88 | Facility | 53 · Discontinued | $14.79 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $16.22 Typical High $16.22 | Facility | 55 · Aftercare only | $11.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.96 Typical High $10.96 | Facility | 56 · Pre-op care only | $7.41 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $37.15 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $14.79 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $11.22 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.41 | $10.47 | $10.96 |
Where Minnesota sits
The same service costs 3.8 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
$200
AK $309FL $81.28
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.