How much rates vary
Facilitymedian $708 · 10th to 90th $214 to $3,631Professionalmedian $468 · 10th to 90th $234 to $891
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $588.84 Median $9,120.11 Typical High $21,877.62 | Facility | None | $588.84 | $9,120.11 | $21,877.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $758.58 | Professional | None | $354.81 | $467.74 | $758.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $223.87 Median $288.40 Typical High $467.74 | Professional | 62 · Two surgeons | $223.87 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,096.48 | Facility | None | $363.08 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $891.25 | Professional | None | $331.13 | $524.81 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $912.01 | Facility | None | $323.59 | $524.81 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $812.83 | Professional | None | $371.54 | $489.78 | $812.83 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,023.29 Typical High $3,019.95 | Facility | None | $363.08 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $4,365.16 | Professional | None | $263.03 | $549.54 | $4,365.16 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $891.25 | Professional | None | $251.19 | $416.87 | $891.25 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | 52 · Reduced service | $107.15 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $158.49 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $28.84 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska 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· 7th of 51
$468
AK $977UT $195
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.