How much rates vary
Facilitymedian $186 · 10th to 90th $44 to $813Professionalmedian $135 · 10th to 90th $63 to $263
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 $43.65 Median $81.28 Typical High $81.28 | Facility | None | $43.65 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $95.50 | Professional | None | $43.65 | $81.28 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $199.53 Median $478.63 Typical High $1,122.02 | Facility | None | $199.53 | $478.63 | $1,122.02 |
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 $69.18 Median $134.90 Typical High $245.47 | Professional | None | $69.18 | $134.90 | $245.47 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $204.17 Typical High $371.54 | Professional | 50 · Both sides | $104.71 | $204.17 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $398.11 | Facility | None | $134.90 | $208.93 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $147.91 Typical High $288.40 | Professional | None | $77.62 | $147.91 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $275.42 | Professional | None | $72.44 | $138.04 | $275.42 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $1,148.15 | Facility | None | $87.10 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $1,023.29 | Professional | None | $85.11 | $186.21 | $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 $57.54 Median $138.04 Typical High $234.42 | Professional | None | $57.54 | $138.04 | $234.42 |
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 $21.88 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $21.88 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $8.71 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $33.11 Median $60.26 Typical High $60.26 | Facility | 54 · Surgery only | $33.11 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.61 Median $12.02 Typical High $12.02 | Facility | 55 · Aftercare only | $6.61 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $8.13 Typical High $8.13 | Facility | 56 · Pre-op care only | $4.37 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $37.15 Typical High $40.74 | Professional | 52 · Reduced service | $21.88 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.79 Typical High $16.22 | Professional | 53 · Discontinued | $8.71 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $56.23 Typical High $60.26 | Professional | 54 · Surgery only | $33.11 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $11.22 Typical High $12.02 | Professional | 55 · Aftercare only | $6.61 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $7.41 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.37 | $7.41 | $8.13 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in 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.
Minnesota· 5th of 51
$138
AK $182VA $60.26
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.