How much rates vary
Facilitymedian $195 · 10th to 90th $74 to $2,951Professionalmedian $245 · 10th to 90th $95 to $661
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 $74.13 Median $194.98 Typical High $194.98 | Facility | None | $74.13 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $186.21 Typical High $263.03 | Professional | None | $74.13 | $186.21 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $8,511.38 Typical High $15,488.17 | Facility | None | $4,570.88 | $8,511.38 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $257.04 Typical High $467.74 | Professional | None | $112.20 | $257.04 | $467.74 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $70.79 Median $158.49 Typical High $295.12 | Professional | 62 · Two surgeons | $70.79 | $158.49 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $1,659.59 | Facility | None | $389.05 | $575.44 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $239.88 Typical High $562.34 | Professional | None | $100.00 | $239.88 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,318.26 | Facility | None | $338.84 | $549.54 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $109.65 Median $263.03 Typical High $562.34 | Professional | None | $109.65 | $263.03 | $562.34 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $2,691.53 | Facility | None | $112.20 | $323.59 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $660.69 Typical High $1,258.93 | Professional | None | $251.19 | $660.69 | $1,258.93 |
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 $87.10 Median $229.09 Typical High $588.84 | Professional | None | $87.10 | $229.09 | $588.84 |
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 $37.15 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $37.15 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $14.79 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $54.95 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $54.95 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $10.96 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $7.41 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $93.33 Typical High $112.20 | Professional | 52 · Reduced service | $37.15 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $37.15 Typical High $44.67 | Professional | 53 · Discontinued | $14.79 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $141.25 Typical High $169.82 | Professional | 54 · Surgery only | $54.95 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $28.18 Typical High $33.88 | Professional | 55 · Aftercare only | $10.96 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $18.62 Typical High $22.39 | Professional | 56 · Pre-op care only | $7.41 | $18.62 | $22.39 |
Where Minnesota sits
The same service costs 2.7 times more in Wisconsin than in Utah. 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· 6th of 51
$240
WI $316UT $117
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.