How much rates vary
Facilitymedian $2,818 · 10th to 90th $380 to $8,710Professionalmedian $832 · 10th to 90th $407 to $1,585
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 $380.19 Median $380.19 Typical High $4,786.30 | Facility | None | $380.19 | $380.19 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $575.44 | Professional | None | $380.19 | $380.19 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $8,709.64 Typical High $19,054.61 | Facility | None | $4,073.80 | $8,709.64 | $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 $588.84 Median $794.33 Typical High $1,380.38 | Professional | None | $588.84 | $794.33 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,174.90 Typical High $2,041.74 | Professional | 50 · Both sides | $870.96 | $1,174.90 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,862.09 | Facility | None | $616.60 | $954.99 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,737.80 | Professional | None | $707.95 | $1,122.02 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,548.82 | Facility | None | $549.54 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,548.82 | Professional | None | $630.96 | $1,000.00 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $3,630.78 Typical High $9,772.37 | Facility | None | $660.69 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $6,309.57 | Professional | None | $467.74 | $870.96 | $6,309.57 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,466.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,584.89 | Professional | None | $436.52 | $812.83 | $1,584.89 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | 52 · Reduced service | $190.55 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $44.67 |
Where Minnesota sits
The same service costs 7.3 times more in Wisconsin 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
WI $8,816MT $1,205
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.