How much rates vary
Facilitymedian $513 · 10th to 90th $132 to $2,570Professionalmedian $224 · 10th to 90th $115 to $589
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | None | $131.83 | $131.83 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,148.15 | $1,862.09 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | None | $114.82 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $741.31 | Facility | None | $251.19 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $707.95 | Professional | None | $281.84 | $446.68 | $707.95 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $630.96 | Facility | None | $223.87 | $354.81 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $407.38 Typical High $616.60 | Professional | None | $251.19 | $407.38 | $616.60 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $776.25 Typical High $2,884.03 | Facility | None | $263.03 | $776.25 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $1,995.26 | Professional | None | $165.96 | $316.23 | $1,995.26 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $3,162.28 | Facility | None | $602.56 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $562.34 | Professional | None | $151.36 | $288.40 | $562.34 |
11 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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 54 · Surgery only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | 54 · Surgery only | $100.00 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $16.22 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | 62 · Two surgeons | $72.44 | $85.11 | $89.13 |
Where Minnesota sits
The same service costs 4.3 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· 15th of 51
$309
AK $603NY $141
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.