How much rates vary
Facilitymedian $933 · 10th to 90th $331 to $4,266Professionalmedian $891 · 10th to 90th $417 to $1,622
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 $331.13 Median $416.87 Typical High $416.87 | Facility | None | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $436.52 | Professional | None | $331.13 | $416.87 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $15,135.61 Typical High $34,673.69 | Facility | None | $812.83 | $15,135.61 | $34,673.69 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $18,197.01 Median $34,673.69 Typical High $61,659.50 | Facility | 50 · Both sides | $18,197.01 | $34,673.69 | $61,659.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,380.38 | Professional | None | $512.86 | $891.25 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,348.96 Typical High $2,089.30 | Professional | 50 · Both sides | $758.58 | $1,348.96 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,778.28 | Professional | None | $691.83 | $1,122.02 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,698.24 | Facility | None | $602.56 | $1,000.00 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,621.81 | Professional | None | $588.84 | $977.24 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,202.26 Typical High $3,467.37 | Facility | None | $575.44 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,071.52 Typical High $2,511.89 | Professional | None | $524.81 | $1,071.52 | $2,511.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,548.82 | Professional | None | $426.58 | $776.25 | $1,548.82 |
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 $165.96 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $165.96 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $66.07 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $309.03 Typical High $309.03 | Facility | 54 · Surgery only | $245.47 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $61.66 | Facility | 55 · Aftercare only | $50.12 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $33.11 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $165.96 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $66.07 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $309.03 Typical High $323.59 | Professional | 54 · Surgery only | $245.47 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $43.65 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $43.65 |
Where Minnesota sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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
WY $10,585DE $1,135
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.