How much rates vary
Facilitymedian $646 · 10th to 90th $141 to $2,344Professionalmedian $692 · 10th to 90th $178 to $2,188
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 $141.25 Median $645.65 Typical High $645.65 | Facility | None | $141.25 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $602.56 Typical High $794.33 | Professional | None | $141.25 | $602.56 | $794.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $851.14 Typical High $1,548.82 | Facility | None | $95.50 | $851.14 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $758.58 Typical High $1,659.59 | Professional | None | $213.80 | $758.58 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $1,122.02 Typical High $2,454.71 | Professional | 50 · Both sides | $316.23 | $1,122.02 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $5,623.41 | Facility | None | $1,318.26 | $1,995.26 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $588.84 Typical High $1,905.46 | Professional | None | $190.55 | $588.84 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $4,466.84 | Facility | None | $1,122.02 | $1,862.09 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $831.76 Typical High $1,905.46 | Professional | None | $234.42 | $831.76 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $1,000.00 Typical High $2,398.83 | Facility | None | $218.78 | $1,000.00 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $2,187.76 Typical High $4,265.80 | Professional | None | $724.44 | $2,187.76 | $4,265.80 |
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 $165.96 Median $575.44 Typical High $1,862.09 | Professional | None | $165.96 | $575.44 | $1,862.09 |
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 $70.79 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $70.79 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $28.84 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $107.15 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $107.15 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $21.38 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $14.13 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $70.79 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $28.84 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $457.09 Typical High $562.34 | Professional | 54 · Surgery only | $107.15 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $93.33 Typical High $112.20 | Professional | 55 · Aftercare only | $21.38 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $14.13 | $61.66 | $74.13 |
Where Minnesota sits
The same service costs 3.8 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· 9th of 51
$676
WI $912NE $240
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.