How much rates vary
Facilitymedian $851 · 10th to 90th $389 to $2,239Professionalmedian $891 · 10th to 90th $479 to $1,479
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $549.54 | Professional | None | $389.05 | $389.05 | $549.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $2,137.96 | Facility | None | $741.31 | $954.99 | $2,137.96 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $1,230.27 Typical High $4,073.80 | Facility | 50 · Both sides | $1,096.48 | $1,230.27 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,348.96 | Professional | None | $602.56 | $812.83 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,230.27 Typical High $1,995.26 | Professional | 50 · Both sides | $912.01 | $1,230.27 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,698.24 | Facility | None | $575.44 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,513.56 | Professional | None | $660.69 | $1,000.00 | $1,513.56 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,412.54 | Professional | None | $575.44 | $851.14 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,122.02 Typical High $3,019.95 | Facility | None | $645.65 | $1,122.02 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,584.89 | Professional | None | $660.69 | $1,023.29 | $1,584.89 |
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 $501.19 Median $1,023.29 Typical High $1,659.59 | Professional | None | $501.19 | $1,023.29 | $1,659.59 |
11 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 $194.98 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | 54 · Surgery only | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $47.86 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $380.19 Median $512.86 Typical High $831.76 | Professional | 62 · Two surgeons | $380.19 | $512.86 | $831.76 |
Where Minnesota sits
The same service costs 3.7 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· 10th of 51
$891
WI $1,622NY $437
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.