How much rates vary
Facilitymedian $8,913 · 10th to 90th $537 to $30,903Professionalmedian $6,026 · 10th to 90th $794 to $17,378
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 $537.03 Median $6,025.60 Typical High $6,025.60 | Facility | None | $537.03 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $6,025.60 Typical High $6,760.83 | Professional | None | $537.03 | $6,025.60 | $6,760.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14,454.40 Median $33,884.42 Typical High $69,183.10 | Facility | None | $14,454.40 | $33,884.42 | $69,183.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $812.83 Median $3,715.35 Typical High $14,791.08 | Professional | None | $812.83 | $3,715.35 | $14,791.08 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $501.19 Median $2,089.30 Typical High $9,120.11 | Professional | 62 · Two surgeons | $501.19 | $2,089.30 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $13,489.63 Typical High $25,703.96 | Facility | None | $8,128.31 | $13,489.63 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $8,709.64 Typical High $21,877.62 | Professional | None | $1,047.13 | $8,709.64 | $21,877.62 |
Health Partners Setting Facility Modifier None Typical Low $7,762.47 Median $12,302.69 Typical High $21,877.62 | Facility | None | $7,762.47 | $12,302.69 | $21,877.62 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $6,025.60 Typical High $17,782.79 | Professional | None | $977.24 | $6,025.60 | $17,782.79 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $7,244.36 Typical High $14,125.38 | Facility | None | $870.96 | $7,244.36 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $8,317.64 Median $13,489.63 Typical High $26,302.68 | Professional | None | $8,317.64 | $13,489.63 | $26,302.68 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $16,982.44 | Facility | None | $5,623.41 | $7,762.47 | $16,982.44 |
United Setting Professional Modifier None Typical Low $724.44 Median $3,162.28 Typical High $22,908.68 | Professional | None | $724.44 | $3,162.28 | $22,908.68 |
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 $269.15 Median $3,019.95 Typical High $3,019.95 | Facility | 52 · Reduced service | $269.15 | $3,019.95 | $3,019.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $1,202.26 Typical High $1,202.26 | Facility | 53 · Discontinued | $107.15 | $1,202.26 | $1,202.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $4,466.84 Typical High $4,466.84 | Facility | 54 · Surgery only | $407.38 | $4,466.84 | $4,466.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $81.28 Median $891.25 Typical High $891.25 | Facility | 55 · Aftercare only | $81.28 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $602.56 Typical High $602.56 | Facility | 56 · Pre-op care only | $53.70 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $269.15 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $107.15 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $4,466.84 Typical High $4,466.84 | Professional | 54 · Surgery only | $407.38 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $81.28 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $53.70 | $602.56 | $602.56 |
Where Minnesota sits
The same service costs 6.1 times more in Alaska than in Vermont. 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.
Physician feeFacility fee
AK $33,081VT $5,424
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.