How much rates vary
Facilitymedian $447 · 10th to 90th $191 to $1,349Professionalmedian $525 · 10th to 90th $269 to $933
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 $190.55 Median $234.42 Typical High $234.42 | Facility | None | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $257.04 | Professional | None | $190.55 | $234.42 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $1,071.52 Typical High $2,290.87 | Facility | None | $407.38 | $1,071.52 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $831.76 | Professional | None | $338.84 | $524.81 | $831.76 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $208.93 Median $331.13 Typical High $524.81 | Professional | 62 · Two surgeons | $208.93 | $331.13 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,230.27 | Facility | None | $416.87 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,096.48 | Professional | None | $416.87 | $691.83 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Facility | None | $371.54 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $1,000.00 | Professional | None | $363.08 | $602.56 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $398.11 Typical High $1,445.44 | Facility | None | $131.83 | $398.11 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $3,090.30 | Professional | None | $288.40 | $549.54 | $3,090.30 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $912.01 | Professional | None | $263.03 | $467.74 | $912.01 |
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 $95.50 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $141.25 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.84 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $28.84 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.05 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $177.83 Typical High $190.55 | Professional | 54 · Surgery only | $141.25 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $28.84 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $23.44 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.05 | $23.44 | $25.12 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$525
AK $851MD $229
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.