How much rates vary
Facilitymedian $4,266 · 10th to 90th $269 to $12,589Professionalmedian $3,311 · 10th to 90th $372 to $11,220
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 $269.15 Median $3,311.31 Typical High $3,311.31 | Facility | None | $269.15 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $3,235.94 Typical High $3,715.35 | Professional | None | $269.15 | $3,235.94 | $3,715.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $10,964.78 Typical High $26,302.68 | Facility | None | $1,778.28 | $10,964.78 | $26,302.68 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $13,803.84 Median $25,118.86 Typical High $45,708.82 | Facility | 50 · Both sides | $13,803.84 | $25,118.86 | $45,708.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $1,621.81 Typical High $9,120.11 | Professional | None | $416.87 | $1,621.81 | $9,120.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $2,398.83 Typical High $13,803.84 | Professional | 50 · Both sides | $616.60 | $2,398.83 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $15,135.61 | Facility | None | $4,786.30 | $7,943.28 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $4,466.84 Typical High $12,882.50 | Professional | None | $549.54 | $4,466.84 | $12,882.50 |
Health Partners Setting Facility Modifier None Typical Low $4,466.84 Median $7,244.36 Typical High $12,589.25 | Facility | None | $4,466.84 | $7,244.36 | $12,589.25 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $3,019.95 Typical High $11,220.18 | Professional | None | $489.78 | $3,019.95 | $11,220.18 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $3,019.95 Typical High $7,762.47 | Facility | None | $489.78 | $3,019.95 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $4,677.35 Median $9,772.37 Typical High $20,892.96 | Professional | None | $4,677.35 | $9,772.37 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,235.94 | $10,000.00 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,862.09 Typical High $12,882.50 | Professional | None | $363.08 | $1,862.09 | $12,882.50 |
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 $134.90 Median $1,659.59 Typical High $1,659.59 | Facility | 52 · Reduced service | $134.90 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $676.08 Typical High $676.08 | Facility | 53 · Discontinued | $53.70 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $2,511.89 Typical High $2,511.89 | Facility | 54 · Surgery only | $204.17 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $501.19 Typical High $501.19 | Facility | 55 · Aftercare only | $40.74 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $331.13 Typical High $331.13 | Facility | 56 · Pre-op care only | $26.92 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $134.90 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $53.70 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $204.17 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $40.74 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $26.92 | $331.13 | $331.13 |
Where Minnesota sits
The same service costs 10.2 times more in Alaska than in Nebraska. 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· 12th of 51
$3,388
AK $5,012NE $490
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.