How much rates vary
Facilitymedian $245 · 10th to 90th $69 to $4,467Professionalmedian $162 · 10th to 90th $81 to $302
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | None | $69.18 | $69.18 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $4,570.88 Typical High $10,715.19 | Facility | None | $177.83 | $4,570.88 | $10,715.19 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $10,471.29 Typical High $19,054.61 | Facility | 50 · Both sides | $5,754.40 | $10,471.29 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | None | $114.82 | $154.88 | $263.03 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $234.42 Typical High $398.11 | Professional | 50 · Both sides | $169.82 | $234.42 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $363.08 | Facility | None | $120.23 | $186.21 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $338.84 | Professional | None | $138.04 | $218.78 | $338.84 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $302.00 | Facility | None | $107.15 | $173.78 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $302.00 | Professional | None | $123.03 | $194.98 | $302.00 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $1,230.27 Typical High $3,981.07 | Facility | None | $112.20 | $1,230.27 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $1,659.59 | Professional | None | $89.13 | $162.18 | $1,659.59 |
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 $83.18 Median $147.91 Typical High $288.40 | Professional | None | $83.18 | $147.91 | $288.40 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 54 · Surgery only | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 55 · Aftercare only | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 54 · Surgery only | $51.29 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $8.51 |
Where Minnesota sits
The same service costs 11.2 times more in Tennessee 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· 10th of 51
$178
TN $832NY $74.13
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.