How much rates vary
Facilitymedian $417 · 10th to 90th $93 to $1,585Professionalmedian $355 · 10th to 90th $132 to $851
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 $93.33 Median $281.84 Typical High $281.84 | Facility | None | $93.33 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $281.84 Typical High $281.84 | Professional | None | $93.33 | $281.84 | $281.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $5,248.07 Typical High $12,022.64 | Facility | None | $61.66 | $5,248.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $724.44 | Professional | None | $147.91 | $389.05 | $724.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $575.44 Typical High $1,096.48 | Professional | 50 · Both sides | $223.87 | $575.44 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,202.26 | Facility | None | $380.19 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $416.87 Typical High $1,023.29 | Professional | None | $181.97 | $416.87 | $1,023.29 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $1,023.29 | Facility | None | $363.08 | $575.44 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $831.76 | Professional | None | $169.82 | $363.08 | $831.76 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $1,230.27 | Facility | None | $125.89 | $338.84 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,230.27 | Professional | None | $354.81 | $602.56 | $1,230.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $125.89 Median $354.81 Typical High $1,023.29 | Professional | None | $125.89 | $354.81 | $1,023.29 |
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 $46.77 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $46.77 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $18.62 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $69.18 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.13 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $14.13 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.33 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $9.33 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $46.77 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $18.62 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $69.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $14.13 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $9.33 | $28.18 | $28.18 |
Where Minnesota sits
The same service costs 3.6 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· 5th of 51
$363
WI $537NE $148
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.