How much rates vary
Facilitymedian $158 · 10th to 90th $54 to $562Professionalmedian $123 · 10th to 90th $66 to $234
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 $72.44 Typical High $72.44 | Facility | None | $53.70 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $95.50 | Professional | None | $53.70 | $72.44 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $489.78 | Facility | None | $144.54 | $234.42 | $489.78 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $257.04 Median $467.74 Typical High $851.14 | Facility | 50 · Both sides | $257.04 | $467.74 | $851.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $208.93 | Professional | None | $79.43 | $125.89 | $208.93 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $190.55 Typical High $316.23 | Professional | 50 · Both sides | $117.49 | $190.55 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $338.84 | Facility | None | $114.82 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $251.19 | Professional | None | $83.18 | $147.91 | $251.19 |
Health Partners Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $281.84 | Facility | None | $100.00 | $165.96 | $281.84 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $138.04 Typical High $234.42 | Professional | None | $83.18 | $138.04 | $234.42 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $1,148.15 | Facility | None | $89.13 | $208.93 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $912.01 | Professional | None | $79.43 | $141.25 | $912.01 |
United Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,778.28 | Facility | None | $125.89 | $380.19 | $1,778.28 |
United Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $223.87 | Professional | None | $66.07 | $104.71 | $223.87 |
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 $26.30 Median $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $26.30 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $14.79 Typical High $14.79 | Facility | 53 · Discontinued | $10.72 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $39.81 Median $54.95 Typical High $54.95 | Facility | 54 · Surgery only | $39.81 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $10.96 Typical High $10.96 | Facility | 55 · Aftercare only | $7.94 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.24 Typical High $7.24 | Facility | 56 · Pre-op care only | $5.37 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $26.30 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $14.79 | Professional | 53 · Discontinued | $10.72 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $52.48 Typical High $54.95 | Professional | 54 · Surgery only | $39.81 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.47 Typical High $10.96 | Professional | 55 · Aftercare only | $7.94 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.92 Typical High $7.24 | Professional | 56 · Pre-op care only | $5.37 | $6.92 | $7.24 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$126
AK $200FL $54.95
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.