How much rates vary
Facilitymedian $468 · 10th to 90th $145 to $1,288Professionalmedian $457 · 10th to 90th $200 to $933
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 $144.54 Median $302.00 Typical High $302.00 | Facility | None | $144.54 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $302.00 | Professional | None | $144.54 | $251.19 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $1,479.11 | Facility | None | $316.23 | $676.08 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $1,445.44 Typical High $2,570.40 | Facility | 50 · Both sides | $776.25 | $1,445.44 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $467.74 Typical High $831.76 | Professional | None | $213.80 | $467.74 | $831.76 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $691.83 Typical High $1,258.93 | Professional | 50 · Both sides | $323.59 | $691.83 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $1,348.96 | Facility | None | $457.09 | $707.95 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $1,148.15 | Professional | None | $295.12 | $575.44 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,122.02 | Facility | None | $398.11 | $645.65 | $1,122.02 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $1,000.00 | Professional | None | $263.03 | $512.86 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $380.19 Typical High $1,445.44 | Facility | None | $131.83 | $380.19 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $691.83 Typical High $1,862.09 | Professional | None | $316.23 | $691.83 | $1,862.09 |
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 $186.21 Median $426.58 Typical High $933.25 | Professional | None | $186.21 | $426.58 | $933.25 |
10 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 $72.44 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $72.44 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $28.84 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $109.65 Median $223.87 Typical High $223.87 | Facility | 54 · Surgery only | $109.65 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $21.88 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $14.45 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $72.44 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $28.84 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $199.53 Typical High $223.87 | Professional | 54 · Surgery only | $109.65 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $39.81 Typical High $44.67 | Professional | 55 · Aftercare only | $21.88 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $26.30 Typical High $30.20 | Professional | 56 · Pre-op care only | $14.45 | $26.30 | $30.20 |
Where Minnesota sits
The same service costs 3.2 times more in Wisconsin 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· 3rd of 51
$457
WI $646KY $204
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.