How much rates vary
Facilitymedian $363 · 10th to 90th $112 to $1,096Professionalmedian $162 · 10th to 90th $74 to $363
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 $112.20 Median $363.08 Typical High $1,096.48 | Facility | None | $112.20 | $363.08 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $138.04 | Professional | None | $48.98 | $107.15 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $4,073.80 | Facility | None | $398.11 | $1,071.52 | $4,073.80 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,096.48 Typical High $1,949.84 | Facility | 50 · Both sides | $588.84 | $1,096.48 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $331.13 | Professional | None | $85.11 | $186.21 | $331.13 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $281.84 Typical High $501.19 | Professional | 50 · Both sides | $125.89 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $549.54 | Facility | None | $190.55 | $288.40 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $186.21 Typical High $389.05 | Professional | None | $87.10 | $186.21 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $457.09 | Facility | None | $162.18 | $263.03 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $371.54 | Professional | None | $81.28 | $165.96 | $371.54 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $954.99 | Facility | None | $100.00 | $323.59 | $954.99 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $257.04 Typical High $1,023.29 | Professional | None | $120.23 | $257.04 | $1,023.29 |
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 $64.57 Median $144.54 Typical High $338.84 | Professional | None | $64.57 | $144.54 | $338.84 |
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 $24.55 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $24.55 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $9.77 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $36.31 Median $83.18 Typical High $83.18 | Facility | 54 · Surgery only | $36.31 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $7.41 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $4.90 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $24.55 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $9.77 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $75.86 Typical High $83.18 | Professional | 54 · Surgery only | $36.31 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $15.49 Typical High $16.60 | Professional | 55 · Aftercare only | $7.41 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $10.23 Typical High $11.22 | Professional | 56 · Pre-op care only | $4.90 | $10.23 | $11.22 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$186
AK $234KY $69.18
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.