How much rates vary
Facilitymedian $2,188 · 10th to 90th $158 to $5,495Professionalmedian $1,514 · 10th to 90th $224 to $4,677
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 $158.49 Median $1,513.56 Typical High $1,513.56 | Facility | None | $158.49 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $1,513.56 Typical High $1,737.80 | Professional | None | $158.49 | $1,513.56 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $9,120.11 | Facility | None | $2,454.71 | $4,570.88 | $9,120.11 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,630.78 Median $6,760.83 Typical High $12,022.64 | Facility | 50 · Both sides | $3,630.78 | $6,760.83 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $1,096.48 Typical High $3,801.89 | Professional | None | $257.04 | $1,096.48 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $1,659.59 Typical High $5,754.40 | Professional | 50 · Both sides | $380.19 | $1,659.59 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $6,456.54 | Facility | None | $2,089.30 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $1,949.84 Typical High $5,623.41 | Professional | None | $309.03 | $1,949.84 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,949.84 | $3,162.28 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $281.84 Median $1,862.09 Typical High $4,570.88 | Professional | None | $281.84 | $1,862.09 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,548.82 Typical High $3,981.07 | Facility | None | $263.03 | $1,548.82 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $7,244.36 | Professional | None | $2,187.76 | $3,548.13 | $7,244.36 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $213.80 Median $812.83 Typical High $5,888.44 | Professional | None | $213.80 | $812.83 | $5,888.44 |
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 $79.43 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $79.43 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $31.62 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $1,122.02 Typical High $1,122.02 | Facility | 54 · Surgery only | $117.49 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $23.44 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $15.85 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $79.43 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $31.62 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $117.49 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $23.44 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $15.85 | $151.36 | $151.36 |
Where Minnesota sits
The same service costs 8.5 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· 7th of 51
$1,738
WI $2,291NE $269
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.