How much rates vary
Facilitymedian $2,188 · 10th to 90th $288 to $7,413Professionalmedian $1,259 · 10th to 90th $417 to $3,311
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 $288.40 Median $1,096.48 Typical High $1,096.48 | Facility | None | $288.40 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,096.48 Typical High $1,258.93 | Professional | None | $288.40 | $1,096.48 | $1,258.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,760.83 Typical High $13,489.63 | Facility | None | $4,168.69 | $6,760.83 | $13,489.63 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $11,748.98 Typical High $20,892.96 | Facility | 50 · Both sides | $6,309.57 | $11,748.98 | $20,892.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $467.74 Median $1,479.11 Typical High $2,818.38 | Professional | None | $467.74 | $1,479.11 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $2,187.76 Typical High $4,168.69 | Professional | 50 · Both sides | $707.95 | $2,187.76 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,479.11 | $2,454.71 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,981.07 | Professional | None | $562.34 | $1,513.56 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,412.54 | $2,238.72 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $1,380.38 Typical High $3,235.94 | Professional | None | $537.03 | $1,380.38 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $2,754.23 Typical High $6,918.31 | Facility | None | $549.54 | $2,754.23 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $6,456.54 | Professional | None | $1,445.44 | $2,398.83 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,174.90 Typical High $3,801.89 | Professional | None | $407.38 | $1,174.90 | $3,801.89 |
6 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 54 · Surgery only Typical Low $218.78 Median $812.83 Typical High $812.83 | Facility | 54 · Surgery only | $218.78 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $43.65 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $28.84 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $218.78 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $43.65 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $28.84 | $109.65 | $109.65 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska 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
$1,660
AK $2,512NE $525
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.