How much rates vary
Facilitymedian $759 · 10th to 90th $170 to $3,162Professionalmedian $525 · 10th to 90th $234 to $1,096
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 $169.82 Median $338.84 Typical High $338.84 | Facility | None | $169.82 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $338.84 | Professional | None | $169.82 | $302.00 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $2,818.38 Typical High $6,456.54 | Facility | None | $380.19 | $2,818.38 | $6,456.54 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,388.44 Median $6,456.54 Typical High $11,481.54 | Facility | 50 · Both sides | $3,388.44 | $6,456.54 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $954.99 | Professional | None | $257.04 | $524.81 | $954.99 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $794.33 Typical High $1,445.44 | Professional | 50 · Both sides | $380.19 | $794.33 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,513.56 | Facility | None | $512.86 | $794.33 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $676.08 Typical High $1,318.26 | Professional | None | $346.74 | $676.08 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $1,148.15 | Professional | None | $302.00 | $588.84 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,148.15 Typical High $3,467.37 | Facility | None | $295.12 | $1,148.15 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $1,995.26 | Professional | None | $354.81 | $794.33 | $1,995.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,466.84 | Facility | None | $776.25 | $1,659.59 | $4,466.84 |
United Setting Professional Modifier None Typical Low $218.78 Median $501.19 Typical High $1,071.52 | Professional | None | $218.78 | $501.19 | $1,071.52 |
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 $85.11 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $85.11 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $33.88 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $128.82 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $25.70 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $16.98 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $85.11 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $33.88 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $223.87 Typical High $257.04 | Professional | 54 · Surgery only | $128.82 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $44.67 Typical High $51.29 | Professional | 55 · Aftercare only | $25.70 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $30.20 Typical High $33.88 | Professional | 56 · Pre-op care only | $16.98 | $30.20 | $33.88 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska 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· 4th of 51
$550
AK $933KY $240
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.