How much rates vary
Facilitymedian $11,482 · 10th to 90th $380 to $46,774Professionalmedian $2,291 · 10th to 90th $457 to $7,586
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 $11,481.54 Typical High $47,863.01 | Facility | None | $380.19 | $11,481.54 | $47,863.01 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,905.46 Typical High $2,818.38 | Professional | None | $354.81 | $1,905.46 | $2,818.38 |
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 $562.34 Median $2,454.71 Typical High $5,754.40 | Professional | None | $562.34 | $2,454.71 | $5,754.40 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $3,715.35 Typical High $8,709.64 | Professional | 50 · Both sides | $851.14 | $3,715.35 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $19,498.45 | Facility | None | $4,265.80 | $6,760.83 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,698.24 Typical High $6,606.93 | Professional | None | $489.78 | $1,698.24 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $15,488.17 | Facility | None | $3,981.07 | $6,606.93 | $15,488.17 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $2,290.87 Typical High $6,606.93 | Professional | None | $616.60 | $2,290.87 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $4,570.88 Typical High $12,022.64 | Facility | None | $575.44 | $4,570.88 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $7,585.78 Typical High $14,454.40 | Professional | None | $2,187.76 | $7,585.78 | $14,454.40 |
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 $426.58 Median $1,659.59 Typical High $6,165.95 | Professional | None | $426.58 | $1,659.59 | $6,165.95 |
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 $186.21 Median $1,148.15 Typical High $1,148.15 | Facility | 52 · Reduced service | $186.21 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $75.86 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $281.84 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $56.23 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $229.09 Typical High $229.09 | Facility | 56 · Pre-op care only | $38.02 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $977.24 Typical High $1,288.25 | Professional | 52 · Reduced service | $186.21 | $977.24 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $389.05 Typical High $524.81 | Professional | 53 · Discontinued | $75.86 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $1,479.11 Typical High $1,949.84 | Professional | 54 · Surgery only | $281.84 | $1,479.11 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $295.12 Typical High $389.05 | Professional | 55 · Aftercare only | $56.23 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $194.98 Typical High $263.03 | Professional | 56 · Pre-op care only | $38.02 | $194.98 | $263.03 |
Where Minnesota sits
The same service costs 6.2 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 $3,162MD $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.