How much rates vary
Facilitymedian $676 · 10th to 90th $178 to $3,802Professionalmedian $490 · 10th to 90th $245 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 $177.83 Median $281.84 Typical High $281.84 | Facility | None | $177.83 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $346.74 | Professional | None | $177.83 | $281.84 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,290.87 Median $4,073.80 Typical High $6,760.83 | Facility | None | $2,290.87 | $4,073.80 | $6,760.83 |
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 $263.03 Median $489.78 Typical High $812.83 | Professional | None | $263.03 | $489.78 | $812.83 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $741.31 Typical High $1,230.27 | Professional | 50 · Both sides | $398.11 | $741.31 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,258.93 | Facility | None | $426.58 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $1,122.02 | Professional | None | $363.08 | $616.60 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,071.52 | Facility | None | $380.19 | $616.60 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,023.29 | Professional | None | $316.23 | $549.54 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $1,202.26 Typical High $3,467.37 | Facility | None | $302.00 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $645.65 Typical High $2,187.76 | Professional | None | $323.59 | $645.65 | $2,187.76 |
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 $229.09 Median $457.09 Typical High $891.25 | Professional | None | $229.09 | $457.09 | $891.25 |
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 $89.13 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $89.13 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $35.48 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $134.90 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $26.92 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $17.78 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $125.89 Typical High $141.25 | Professional | 52 · Reduced service | $89.13 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $35.48 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $186.21 Typical High $208.93 | Professional | 54 · Surgery only | $134.90 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $37.15 Typical High $42.66 | Professional | 55 · Aftercare only | $26.92 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $25.12 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.78 | $25.12 | $28.18 |
Where Minnesota sits
The same service costs 3.1 times more in Alaska than in New York. 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
$501
AK $794NY $257
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.