How much rates vary
Facilitymedian $1,096 · 10th to 90th $339 to $5,888Professionalmedian $912 · 10th to 90th $427 to $1,660
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 $338.84 Median $426.58 Typical High $426.58 | Facility | None | $338.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $446.68 | Professional | None | $338.84 | $426.58 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $8,317.64 Typical High $19,054.61 | Facility | None | $831.76 | $8,317.64 | $19,054.61 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $10,000.00 Median $19,054.61 Typical High $33,884.42 | Facility | 50 · Both sides | $10,000.00 | $19,054.61 | $33,884.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,445.44 | Professional | None | $524.81 | $912.01 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,380.38 Typical High $2,137.96 | Professional | 50 · Both sides | $794.33 | $1,380.38 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,089.30 | Facility | None | $707.95 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,819.70 | Professional | None | $707.95 | $1,148.15 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,737.80 | Facility | None | $616.60 | $1,023.29 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,698.24 | Professional | None | $616.60 | $1,023.29 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,659.59 Typical High $4,786.30 | Facility | None | $588.84 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $2,570.40 | Professional | None | $549.54 | $1,122.02 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,621.81 | Professional | None | $446.68 | $812.83 | $1,621.81 |
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 $169.82 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $169.82 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $67.61 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $257.04 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $51.29 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $33.88 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $213.80 Typical High $223.87 | Professional | 52 · Reduced service | $169.82 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $89.13 | Professional | 53 · Discontinued | $67.61 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $323.59 Typical High $338.84 | Professional | 54 · Surgery only | $257.04 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $67.61 | Professional | 55 · Aftercare only | $51.29 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $44.67 | Professional | 56 · Pre-op care only | $33.88 | $42.66 | $44.67 |
Where Minnesota sits
The same service costs 6.3 times more in Colorado than in Montana. 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
CO $7,350MT $1,166
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.