How much rates vary
Facilitymedian $912 · 10th to 90th $263 to $3,311Professionalmedian $1,023 · 10th to 90th $316 to $3,162
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 $263.03 Median $912.01 Typical High $912.01 | Facility | None | $263.03 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $870.96 Typical High $1,445.44 | Professional | None | $263.03 | $870.96 | $1,445.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $1,548.82 Typical High $2,818.38 | Facility | None | $173.78 | $1,548.82 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $1,096.48 Typical High $2,344.23 | Professional | None | $380.19 | $1,096.48 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $1,659.59 Typical High $3,467.37 | Professional | 50 · Both sides | $575.44 | $1,659.59 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $7,943.28 | Facility | None | $1,862.09 | $2,691.53 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $954.99 Typical High $2,691.53 | Professional | None | $338.84 | $954.99 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $6,165.95 | Facility | None | $1,584.89 | $2,630.27 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $1,148.15 Typical High $2,630.27 | Professional | None | $426.58 | $1,148.15 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $1,412.54 Typical High $2,691.53 | Facility | None | $346.74 | $1,412.54 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $3,162.28 Typical High $7,244.36 | Professional | None | $1,023.29 | $3,162.28 | $7,244.36 |
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 $302.00 Median $912.01 Typical High $2,754.23 | Professional | None | $302.00 | $912.01 | $2,754.23 |
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 $128.82 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $128.82 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $52.48 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $691.83 Typical High $691.83 | Facility | 54 · Surgery only | $194.98 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.90 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $38.90 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.30 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $26.30 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $436.52 Typical High $562.34 | Professional | 52 · Reduced service | $128.82 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $173.78 Typical High $223.87 | Professional | 53 · Discontinued | $52.48 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $645.65 Typical High $831.76 | Professional | 54 · Surgery only | $194.98 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $131.83 Typical High $165.96 | Professional | 55 · Aftercare only | $38.90 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $87.10 Typical High $112.20 | Professional | 56 · Pre-op care only | $26.30 | $87.10 | $112.20 |
Where Minnesota sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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
$1,023
WI $1,380HI $324
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.