How much rates vary
Facilitymedian $141 · 10th to 90th $50 to $1,318Professionalmedian $110 · 10th to 90th $55 to $204
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 $50.12 Median $54.95 Typical High $1,318.26 | Facility | None | $50.12 | $54.95 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $91.20 | Professional | None | $50.12 | $54.95 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $2,238.72 | Facility | None | $398.11 | $1,071.52 | $2,238.72 |
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 $72.44 Median $109.65 Typical High $162.18 | Professional | None | $72.44 | $109.65 | $162.18 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $165.96 Typical High $245.47 | Professional | 50 · Both sides | $107.15 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $251.19 | Facility | None | $85.11 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $208.93 | Professional | None | $77.62 | $123.03 | $208.93 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $213.80 | Facility | None | $75.86 | $123.03 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $194.98 | Professional | None | $77.62 | $114.82 | $194.98 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $1,148.15 | Facility | None | $70.79 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $426.58 | Professional | None | $85.11 | $165.96 | $426.58 |
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 $66.07 Median $131.83 Typical High $223.87 | Professional | None | $66.07 | $131.83 | $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 $24.55 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $24.55 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.00 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $37.15 Median $40.74 Typical High $40.74 | Facility | 54 · Surgery only | $37.15 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $8.13 Typical High $8.13 | Facility | 55 · Aftercare only | $7.41 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $5.01 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $10.00 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $40.74 Typical High $44.67 | Professional | 54 · Surgery only | $37.15 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $8.13 Typical High $8.91 | Professional | 55 · Aftercare only | $7.41 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.50 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.01 | $5.50 | $5.89 |
Where Minnesota sits
The same service costs 3.6 times more in Wyoming 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· 6th of 51
$112
WY $191FL $52.48
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.