How much rates vary
Facilitymedian $295 · 10th to 90th $78 to $1,738Professionalmedian $240 · 10th to 90th $112 to $447
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 $77.62 Median $112.20 Typical High $112.20 | Facility | None | $77.62 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $138.04 | Professional | None | $77.62 | $112.20 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $199.53 Median $1,148.15 Typical High $2,691.53 | Facility | None | $199.53 | $1,148.15 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,412.54 Median $2,630.27 Typical High $4,677.35 | Facility | 50 · Both sides | $1,412.54 | $2,630.27 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $398.11 | Professional | None | $134.90 | $239.88 | $398.11 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $363.08 Typical High $588.84 | Professional | 50 · Both sides | $204.17 | $363.08 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $588.84 | Facility | None | $199.53 | $309.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $512.86 | Professional | None | $186.21 | $295.12 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $501.19 | Facility | None | $177.83 | $281.84 | $501.19 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $478.63 | Professional | None | $158.49 | $275.42 | $478.63 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $2,187.76 | Facility | None | $147.91 | $645.65 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $630.96 | Professional | None | $151.36 | $309.03 | $630.96 |
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 $109.65 Median $218.78 Typical High $426.58 | Professional | None | $109.65 | $218.78 | $426.58 |
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 $38.90 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $38.90 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $15.49 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $58.88 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $11.75 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $7.76 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $15.49 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $85.11 Typical High $89.13 | Professional | 54 · Surgery only | $58.88 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $16.98 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $11.22 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.76 | $11.22 | $12.02 |
Where Minnesota sits
The same service costs 3.2 times more in Wisconsin than in Texas. 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· 3rd of 51
$245
WI $363TX $112
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.