How much rates vary
Facilitymedian $851 · 10th to 90th $269 to $6,761Professionalmedian $759 · 10th to 90th $380 to $1,413
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 $269.15 Median $380.19 Typical High $380.19 | Facility | None | $269.15 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $467.74 | Professional | None | $269.15 | $363.08 | $467.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,786.30 Median $9,549.93 Typical High $19,054.61 | Facility | None | $4,786.30 | $9,549.93 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,258.93 | Professional | None | $426.58 | $758.58 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $269.15 Median $478.63 Typical High $776.25 | Professional | 62 · Two surgeons | $269.15 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $1,737.80 | Professional | None | $512.86 | $954.99 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,698.24 | Facility | None | $602.56 | $977.24 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,584.89 | Professional | None | $562.34 | $891.25 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,884.03 | Facility | None | $467.74 | $776.25 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $4,897.79 | Professional | None | $436.52 | $891.25 | $4,897.79 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $346.74 Median $691.83 Typical High $1,348.96 | Professional | None | $346.74 | $691.83 | $1,348.96 |
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 $134.90 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $134.90 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $53.70 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $199.53 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $40.74 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $53.70 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $269.15 Typical High $288.40 | Professional | 54 · Surgery only | $199.53 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $36.31 Typical High $38.02 | Professional | 56 · Pre-op care only | $26.92 | $36.31 | $38.02 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska 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· 4th of 51
$776
AK $1,380NY $355
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.