How much rates vary
Facilitymedian $1,479 · 10th to 90th $794 to $3,631Professionalmedian $1,622 · 10th to 90th $955 to $2,884
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,513.56 Median $3,235.94 Typical High $7,943.28 | Facility | None | $1,513.56 | $3,235.94 | $7,943.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,621.81 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $1,000.00 Typical High $1,584.89 | Professional | 62 · Two surgeons | $758.58 | $1,000.00 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,995.26 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,659.59 | $2,884.03 |
Health Partners Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,737.80 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $3,019.95 | Facility | None | $758.58 | $1,380.38 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,090.30 | Professional | None | $954.99 | $1,513.56 | $3,090.30 |
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 $891.25 Median $1,513.56 Typical High $3,235.94 | Professional | None | $891.25 | $1,513.56 | $3,235.94 |
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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 52 · Reduced service | $398.11 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $158.49 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $588.84 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $95.50 |
Where Minnesota sits
The same service costs 3.8 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· 6th of 51
$1,585
WI $3,090NY $813
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.