How much rates vary
Facilitymedian $1,514 · 10th to 90th $479 to $8,318Professionalmedian $955 · 10th to 90th $479 to $1,820
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | None | $478.63 | $478.63 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $9,772.37 Typical High $22,387.21 | Facility | None | $2,630.27 | $9,772.37 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,548.82 | Professional | None | $645.65 | $870.96 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $407.38 Median $549.54 Typical High $977.24 | Professional | 62 · Two surgeons | $407.38 | $549.54 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $2,137.96 | Facility | None | $724.44 | $1,122.02 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,995.26 | Professional | None | $812.83 | $1,288.25 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,778.28 | Facility | None | $630.96 | $1,023.29 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,778.28 | Professional | None | $724.44 | $1,148.15 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,995.26 Typical High $4,786.30 | Facility | None | $630.96 | $1,995.26 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $977.24 Typical High $3,311.31 | Professional | None | $302.00 | $977.24 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $323.59 Median $870.96 Typical High $1,905.46 | Professional | None | $323.59 | $870.96 | $1,905.46 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | 53 · Discontinued | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $56.23 |
Where Minnesota sits
The same service costs 5.2 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· 6th of 51
$1,000
AK $1,820KY $347
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.