How much rates vary
Facilitymedian $19,055 · 10th to 90th $380 to $34,674Professionalmedian $2,344 · 10th to 90th $457 to $7,762
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 $380.19 Median $21,877.62 Typical High $34,673.69 | Facility | None | $380.19 | $21,877.62 | $34,673.69 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,862.09 Typical High $2,884.03 | Professional | None | $354.81 | $1,862.09 | $2,884.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,244.36 Median $12,882.50 Typical High $20,892.96 | Facility | None | $7,244.36 | $12,882.50 | $20,892.96 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,715.19 Median $19,952.62 Typical High $36,307.81 | Facility | 50 · Both sides | $10,715.19 | $19,952.62 | $36,307.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $2,454.71 Typical High $5,888.44 | Professional | None | $575.44 | $2,454.71 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $3,715.35 Typical High $8,912.51 | Professional | 50 · Both sides | $851.14 | $3,715.35 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $20,417.38 | Facility | None | $4,677.35 | $7,079.46 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,862.09 Typical High $6,760.83 | Professional | None | $489.78 | $1,862.09 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $4,073.80 Median $6,760.83 Typical High $15,848.93 | Facility | None | $4,073.80 | $6,760.83 | $15,848.93 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $2,290.87 Typical High $6,760.83 | Professional | None | $616.60 | $2,290.87 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $4,677.35 Typical High $12,302.69 | Facility | None | $588.84 | $4,677.35 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $7,762.47 Typical High $14,791.08 | Professional | None | $2,187.76 | $7,762.47 | $14,791.08 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $15,135.61 | Facility | None | $6,309.57 | $11,481.54 | $15,135.61 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,659.59 Typical High $6,456.54 | Professional | None | $436.52 | $1,659.59 | $6,456.54 |
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 $190.55 Median $1,174.90 Typical High $1,174.90 | Facility | 52 · Reduced service | $190.55 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $467.74 Typical High $467.74 | Facility | 53 · Discontinued | $75.86 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $1,737.80 Typical High $1,737.80 | Facility | 54 · Surgery only | $281.84 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $354.81 Typical High $354.81 | Facility | 55 · Aftercare only | $56.23 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $234.42 Typical High $234.42 | Facility | 56 · Pre-op care only | $38.02 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $977.24 Typical High $1,348.96 | Professional | 52 · Reduced service | $190.55 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $398.11 Typical High $537.03 | Professional | 53 · Discontinued | $75.86 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $1,479.11 Typical High $1,995.26 | Professional | 54 · Surgery only | $281.84 | $1,479.11 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $295.12 Typical High $398.11 | Professional | 55 · Aftercare only | $56.23 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $194.98 Typical High $269.15 | Professional | 56 · Pre-op care only | $38.02 | $194.98 | $269.15 |
Where Minnesota sits
The same service costs 6.3 times more in Washington than in Maryland. 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· 4th of 51
$2,630
WA $3,236MD $513
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.