How much rates vary
Facilitymedian $295 · 10th to 90th $54 to $1,995Professionalmedian $170 · 10th to 90th $81 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 $53.70 Median $109.65 Typical High $109.65 | Facility | None | $53.70 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $134.90 | Professional | None | $53.70 | $102.33 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $2,951.21 | Facility | None | $912.01 | $1,698.24 | $2,951.21 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $1,380.38 Median $2,570.40 Typical High $4,570.88 | Facility | 50 · Both sides | $1,380.38 | $2,570.40 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $87.10 Median $186.21 Typical High $323.59 | Professional | None | $87.10 | $186.21 | $323.59 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $281.84 Typical High $489.78 | Professional | 50 · Both sides | $131.83 | $281.84 | $489.78 |
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 $95.50 Median $186.21 Typical High $389.05 | Professional | None | $95.50 | $186.21 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $457.09 | Facility | None | $162.18 | $269.15 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $371.54 | Professional | None | $89.13 | $181.97 | $371.54 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $645.65 Typical High $2,570.40 | Facility | None | $107.15 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $1,380.38 | Professional | None | $125.89 | $245.47 | $1,380.38 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $354.81 | Professional | None | $74.13 | $169.82 | $354.81 |
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 $26.92 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $26.92 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $10.72 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $39.81 Median $83.18 Typical High $83.18 | Facility | 54 · Surgery only | $39.81 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $7.94 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.96 Typical High $10.96 | Facility | 56 · Pre-op care only | $5.37 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $26.92 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $10.72 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $75.86 Typical High $83.18 | Professional | 54 · Surgery only | $39.81 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $15.14 Typical High $16.60 | Professional | 55 · Aftercare only | $7.94 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.23 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.37 | $10.23 | $10.96 |
Where Minnesota sits
The same service costs 3.2 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
$178
AK $263VA $81.28
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.