How much rates vary
Facilitymedian $1,202 · 10th to 90th $562 to $4,266Professionalmedian $575 · 10th to 90th $331 to $1,585
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None | $562.34 | $562.34 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $831.76 | Facility | None | $398.11 | $524.81 | $831.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $407.38 | Professional | None | $323.59 | $371.54 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Facility | None | $758.58 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,949.84 | Professional | None | $724.44 | $1,230.27 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $1,148.15 Typical High $1,819.70 | Professional | None | $575.44 | $1,148.15 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,754.23 Typical High $6,606.93 | Facility | None | $812.83 | $2,754.23 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $758.58 Typical High $4,168.69 | Professional | None | $346.74 | $758.58 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $6,760.83 | Facility | None | $1,995.26 | $3,090.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $1,258.93 | Professional | None | $323.59 | $676.08 | $1,258.93 |
12 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 $275.42 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 54 · Surgery only | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $57.54 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $549.54 Typical High $616.60 | Professional | 50 · Both sides | $478.63 | $549.54 | $616.60 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $204.17 Median $251.19 Typical High $257.04 | Professional | 62 · Two surgeons | $204.17 | $251.19 | $257.04 |
Where Minnesota sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 19th of 51
$724
AK $2,344HI $224
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.