How much rates vary
Facilitymedian $282 · 10th to 90th $50 to $1,738Professionalmedian $316 · 10th to 90th $60 to $933
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 $50.12 Median $281.84 Typical High $281.84 | Facility | None | $50.12 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $281.84 Typical High $426.58 | Professional | None | $50.12 | $281.84 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.88 Median $144.54 Typical High $234.42 | Facility | None | $33.88 | $144.54 | $234.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $72.44 Median $295.12 Typical High $707.95 | Professional | None | $72.44 | $295.12 | $707.95 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $446.68 Typical High $1,071.52 | Professional | 50 · Both sides | $107.15 | $446.68 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $2,454.71 | Facility | None | $537.03 | $831.76 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $239.88 Typical High $831.76 | Professional | None | $64.57 | $239.88 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,905.46 | Facility | None | $489.78 | $812.83 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $302.00 Typical High $812.83 | Professional | None | $83.18 | $302.00 | $812.83 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $467.74 Typical High $2,398.83 | Facility | None | $77.62 | $467.74 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $933.25 Typical High $2,290.87 | Professional | None | $371.54 | $933.25 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $56.23 Median $239.88 Typical High $933.25 | Professional | None | $56.23 | $239.88 | $933.25 |
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 $25.12 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $25.12 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $10.00 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.02 Median $213.80 Typical High $213.80 | Facility | 54 · Surgery only | $38.02 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $7.59 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $25.12 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $52.48 Typical High $70.79 | Professional | 53 · Discontinued | $10.00 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $208.93 Typical High $263.03 | Professional | 54 · Surgery only | $38.02 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $39.81 Typical High $52.48 | Professional | 55 · Aftercare only | $7.59 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $26.30 Typical High $34.67 | Professional | 56 · Pre-op care only | $5.01 | $26.30 | $34.67 |
Where Minnesota sits
The same service costs 4.9 times more in Iowa 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
$302
IA $417NE $85.11
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.