How much rates vary
Facilitymedian $1,096 · 10th to 90th $513 to $2,512Professionalmedian $1,148 · 10th to 90th $562 to $2,138
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,630.27 | Facility | None | $891.25 | $1,584.89 | $2,630.27 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,318.26 Median $2,511.89 Typical High $4,466.84 | Facility | 50 · Both sides | $1,318.26 | $2,511.89 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,862.09 | Professional | None | $794.33 | $1,071.52 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,584.89 Typical High $2,818.38 | Professional | 50 · Both sides | $1,174.90 | $1,584.89 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,511.89 | Facility | None | $851.14 | $1,318.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,344.23 | Professional | None | $954.99 | $1,513.56 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,089.30 | Facility | None | $741.31 | $1,202.26 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,089.30 | Professional | None | $851.14 | $1,348.96 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $2,570.40 | Facility | None | $478.63 | $891.25 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $3,890.45 | Professional | None | $630.96 | $1,174.90 | $3,890.45 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,187.76 | Professional | None | $602.56 | $1,096.48 | $2,187.76 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 54 · Surgery only | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $60.26 |
Where Minnesota sits
The same service costs 4.0 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· 4th of 51
$1,122
AK $2,089UT $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.