How much rates vary
Facilitymedian $1,479 · 10th to 90th $257 to $4,677Professionalmedian $1,479 · 10th to 90th $309 to $4,898
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 $257.04 Median $1,479.11 Typical High $1,479.11 | Facility | None | $257.04 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $1,288.25 Typical High $1,778.28 | Professional | None | $234.42 | $1,288.25 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $1,479.11 Typical High $2,691.53 | Facility | None | $169.82 | $1,479.11 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $1,659.59 Typical High $3,801.89 | Professional | None | $380.19 | $1,659.59 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $2,511.89 Typical High $5,754.40 | Professional | 50 · Both sides | $575.44 | $2,511.89 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $12,882.50 | Facility | None | $3,019.95 | $4,570.88 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $1,148.15 Typical High $4,365.16 | Professional | None | $316.23 | $1,148.15 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $10,232.93 | Facility | None | $2,630.27 | $4,265.80 | $10,232.93 |
Health Partners Setting Professional Modifier None Typical Low $416.87 Median $1,548.82 Typical High $4,365.16 | Professional | None | $416.87 | $1,548.82 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,819.70 Typical High $3,019.95 | Facility | None | $389.05 | $1,819.70 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $4,897.79 Typical High $9,332.54 | Professional | None | $1,584.89 | $4,897.79 | $9,332.54 |
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 $281.84 Median $1,122.02 Typical High $4,168.69 | Professional | None | $281.84 | $1,122.02 | $4,168.69 |
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 $125.89 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $125.89 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $51.29 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $190.55 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $38.02 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.70 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $25.70 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $645.65 Typical High $851.14 | Professional | 52 · Reduced service | $125.89 | $645.65 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $263.03 Typical High $338.84 | Professional | 53 · Discontinued | $51.29 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $1,000.00 Typical High $1,258.93 | Professional | 54 · Surgery only | $190.55 | $1,000.00 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $38.02 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $131.83 Typical High $169.82 | Professional | 56 · Pre-op care only | $25.70 | $131.83 | $169.82 |
Where Minnesota sits
The same service costs 6.5 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· 8th of 51
$1,479
WA $2,138MD $331
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.