How much rates vary
Facilitymedian $257 · 10th to 90th $107 to $955Professionalmedian $224 · 10th to 90th $120 to $417
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 $107.15 Median $123.03 Typical High $123.03 | Facility | None | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $138.04 | Professional | None | $107.15 | $120.23 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $288.40 Median $660.69 Typical High $1,513.56 | Facility | None | $288.40 | $660.69 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $794.33 Median $1,479.11 Typical High $2,630.27 | Facility | 50 · Both sides | $794.33 | $1,479.11 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $363.08 | Professional | None | $158.49 | $239.88 | $363.08 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $363.08 Typical High $537.03 | Professional | 50 · Both sides | $239.88 | $363.08 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $575.44 | Facility | None | $190.55 | $295.12 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $467.74 | Professional | None | $165.96 | $269.15 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $478.63 | Facility | None | $169.82 | $281.84 | $478.63 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $426.58 | Professional | None | $169.82 | $257.04 | $426.58 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $1,230.27 | Facility | None | $125.89 | $281.84 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $2,187.76 | Professional | None | $128.82 | $234.42 | $2,187.76 |
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 $114.82 Median $194.98 Typical High $407.38 | Professional | None | $114.82 | $194.98 | $407.38 |
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 $53.70 Median $61.66 Typical High $61.66 | Facility | 52 · Reduced service | $53.70 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $21.38 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $93.33 Typical High $93.33 | Facility | 54 · Surgery only | $81.28 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $18.62 Typical High $18.62 | Facility | 55 · Aftercare only | $16.22 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $12.30 | Facility | 56 · Pre-op care only | $10.72 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $93.33 Typical High $93.33 | Professional | 54 · Surgery only | $81.28 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $12.30 |
Where Minnesota sits
The same service costs 4.5 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· 5th of 51
$229
AK $407FL $91.20
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.