How much rates vary
Facilitymedian $692 · 10th to 90th $288 to $1,995Professionalmedian $589 · 10th to 90th $347 to $1,072
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None | $288.40 | $288.40 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $1,513.56 | Facility | None | $537.03 | $676.08 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $954.99 | Professional | None | $436.52 | $588.84 | $954.99 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $275.42 Median $371.54 Typical High $602.56 | Professional | 62 · Two surgeons | $275.42 | $371.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,258.93 | Facility | None | $416.87 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $1,122.02 | Professional | None | $489.78 | $724.44 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Facility | None | $371.54 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,047.13 | Professional | None | $426.58 | $630.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,023.29 Typical High $3,019.95 | Facility | None | $446.68 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $1,148.15 | Professional | None | $354.81 | $562.34 | $1,148.15 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,174.90 | Professional | None | $331.13 | $562.34 | $1,174.90 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $43.65 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | 52 · Reduced service | $144.54 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $57.54 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | 54 · Surgery only | $218.78 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $34.67 |
Where Minnesota sits
The same service costs 3.9 times more in Wisconsin 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· 9th of 51
$589
WI $1,175NY $302
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.