How much rates vary
Facilitymedian $447 · 10th to 90th $62 to $1,820Professionalmedian $123 · 10th to 90th $60 to $251
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 $40.74 Median $74.13 Typical High $1,096.48 | Facility | None | $40.74 | $74.13 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $74.13 Typical High $107.15 | Professional | None | $40.74 | $74.13 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $2,454.71 Typical High $4,466.84 | Facility | None | $933.25 | $2,454.71 | $4,466.84 |
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 $67.61 Median $134.90 Typical High $223.87 | Professional | None | $67.61 | $134.90 | $223.87 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $199.53 Typical High $331.13 | Professional | 50 · Both sides | $104.71 | $199.53 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $371.54 | Facility | None | $128.82 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $263.03 | Professional | None | $70.79 | $138.04 | $263.03 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $309.03 | Facility | None | $109.65 | $181.97 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $125.89 Typical High $257.04 | Professional | None | $67.61 | $125.89 | $257.04 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $616.60 Typical High $1,778.28 | Facility | None | $102.33 | $616.60 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $190.55 Typical High $1,348.96 | Professional | None | $89.13 | $190.55 | $1,348.96 |
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 $53.70 Median $109.65 Typical High $239.88 | Professional | None | $53.70 | $109.65 | $239.88 |
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 $20.42 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $20.42 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $8.13 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.90 Median $56.23 Typical High $56.23 | Facility | 54 · Surgery only | $30.90 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $6.17 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $4.07 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $20.42 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $8.13 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $51.29 Typical High $56.23 | Professional | 54 · Surgery only | $30.90 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.23 Typical High $11.22 | Professional | 55 · Aftercare only | $6.17 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.92 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.07 | $6.92 | $7.41 |
Where Minnesota sits
The same service costs 3.5 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· 4th of 51
$132
AK $204VA $58.88
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.