How much rates vary
Facilitymedian $1,148 · 10th to 90th $347 to $7,943Professionalmedian $759 · 10th to 90th $380 to $1,445
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | None | $346.74 | $346.74 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $8,317.64 Typical High $19,054.61 | Facility | None | $851.14 | $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 $724.44 Typical High $1,258.93 | Professional | None | $524.81 | $724.44 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,071.52 Typical High $1,862.09 | Professional | 50 · Both sides | $794.33 | $1,071.52 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,584.89 | Professional | None | $645.65 | $1,000.00 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $912.01 Typical High $1,380.38 | Professional | None | $562.34 | $912.01 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $6,760.83 | Facility | None | $602.56 | $2,137.96 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $2,630.27 | Professional | None | $426.58 | $794.33 | $2,630.27 |
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 $398.11 Median $741.31 Typical High $1,445.44 | Professional | None | $398.11 | $741.31 | $1,445.44 |
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 $173.78 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 53 · Discontinued | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | 54 · Surgery only | $257.04 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $40.74 |
Where Minnesota sits
The same service costs 7.8 times more in Oklahoma than in New York. 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· 8th of 51
$832
OK $2,630NY $339
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.