How much rates vary
Facilitymedian $174 · 10th to 90th $68 to $794Professionalmedian $148 · 10th to 90th $78 to $269
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 $67.61 Median $81.28 Typical High $81.28 | Facility | None | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $87.10 | Professional | None | $67.61 | $77.62 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $467.74 Typical High $1,122.02 | Facility | None | $169.82 | $467.74 | $1,122.02 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $1,071.52 Typical High $1,995.26 | Facility | 50 · Both sides | $588.84 | $1,071.52 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $239.88 | Professional | None | $104.71 | $162.18 | $239.88 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $239.88 Typical High $354.81 | Professional | 50 · Both sides | $154.88 | $239.88 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $380.19 | Facility | None | $125.89 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $309.03 | Professional | None | $107.15 | $173.78 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $316.23 | Facility | None | $112.20 | $186.21 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $269.15 | Professional | None | $107.15 | $169.82 | $269.15 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $199.53 Typical High $1,148.15 | Facility | None | $93.33 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $575.44 | Professional | None | $85.11 | $151.36 | $575.44 |
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 $74.13 Median $125.89 Typical High $257.04 | Professional | None | $74.13 | $125.89 | $257.04 |
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 $33.88 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $33.88 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $13.49 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $51.29 Median $61.66 Typical High $61.66 | Facility | 54 · Surgery only | $51.29 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $10.23 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.13 Typical High $8.13 | Facility | 56 · Pre-op care only | $6.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 54 · Surgery only | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.23 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.76 | $8.13 | $8.13 |
Where Minnesota sits
The same service costs 3.8 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
$151
AK $257FL $67.61
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.