How much rates vary
Facilitymedian $603 · 10th to 90th $155 to $2,188Professionalmedian $631 · 10th to 90th $204 to $2,042
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 $154.88 Median $602.56 Typical High $602.56 | Facility | None | $154.88 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $549.54 Typical High $691.83 | Professional | None | $154.88 | $549.54 | $691.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $104.71 Median $954.99 Typical High $1,737.80 | Facility | None | $104.71 | $954.99 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $707.95 Typical High $1,548.82 | Professional | None | $229.09 | $707.95 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $1,071.52 Typical High $2,290.87 | Professional | 50 · Both sides | $346.74 | $1,071.52 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $5,248.07 | Facility | None | $1,230.27 | $1,778.28 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $575.44 Typical High $1,778.28 | Professional | None | $204.17 | $575.44 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $4,073.80 | Facility | None | $1,047.13 | $1,737.80 | $4,073.80 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $741.31 Typical High $1,737.80 | Professional | None | $257.04 | $741.31 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $831.76 Typical High $2,398.83 | Facility | None | $229.09 | $831.76 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Professional | None | $616.60 | $2,041.74 | $3,890.45 |
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 $181.97 Median $549.54 Typical High $1,621.81 | Professional | None | $181.97 | $549.54 | $1,621.81 |
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 $77.62 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $77.62 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $30.90 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $457.09 Typical High $457.09 | Facility | 54 · Surgery only | $117.49 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $23.44 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $15.49 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $269.15 Typical High $346.74 | Professional | 52 · Reduced service | $77.62 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $109.65 Typical High $138.04 | Professional | 53 · Discontinued | $30.90 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $407.38 Typical High $524.81 | Professional | 54 · Surgery only | $117.49 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $23.44 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $54.95 Typical High $69.18 | Professional | 56 · Pre-op care only | $15.49 | $54.95 | $69.18 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin 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· 7th of 51
$631
WI $912NE $257
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.