How much rates vary
Facilitymedian $1,698 · 10th to 90th $331 to $5,248Professionalmedian $676 · 10th to 90th $339 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 $199.53 Median $1,698.24 Typical High $4,265.80 | Facility | None | $199.53 | $1,698.24 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $478.63 | Professional | None | $199.53 | $380.19 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,413.10 Typical High $12,022.64 | Facility | None | $4,168.69 | $7,413.10 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $691.83 Typical High $1,258.93 | Professional | None | $354.81 | $691.83 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $218.78 Median $426.58 Typical High $794.33 | Professional | 62 · Two surgeons | $218.78 | $426.58 | $794.33 |
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 $467.74 Median $891.25 Typical High $1,737.80 | Professional | None | $467.74 | $891.25 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,698.24 | Facility | None | $602.56 | $954.99 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $794.33 Typical High $1,479.11 | Professional | None | $407.38 | $794.33 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,041.74 Typical High $5,248.07 | Facility | None | $426.58 | $2,041.74 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $2,951.21 | Professional | None | $446.68 | $1,023.29 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,570.40 | $8,128.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,412.54 | Professional | None | $323.59 | $616.60 | $1,412.54 |
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 $100.00 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $100.00 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $39.81 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $147.91 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.20 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $30.20 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $19.95 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $100.00 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $288.40 Typical High $288.40 | Professional | 54 · Surgery only | $147.91 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $30.20 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $19.95 | $38.02 | $38.02 |
Where Minnesota sits
The same service costs 5.9 times more in Oklahoma than in West Virginia. 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
OK $4,893WV $835
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.