How much rates vary
Facilitymedian $54 · 10th to 90th $20 to $501Professionalmedian $45 · 10th to 90th $23 to $93
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 $19.95 Median $23.44 Typical High $23.44 | Facility | None | $19.95 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $46.77 | Professional | None | $19.95 | $23.44 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $489.78 | Facility | None | $169.82 | $275.42 | $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 $31.62 Median $40.74 Typical High $69.18 | Professional | None | $31.62 | $40.74 | $69.18 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $47.86 Median $61.66 Typical High $104.71 | Professional | 50 · Both sides | $47.86 | $61.66 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $93.33 | Facility | None | $31.62 | $48.98 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $51.29 Typical High $87.10 | Professional | None | $31.62 | $51.29 | $87.10 |
Health Partners Setting Facility Modifier None Typical Low $28.18 Median $45.71 Typical High $79.43 | Facility | None | $28.18 | $45.71 | $79.43 |
Health Partners Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $83.18 | Professional | None | $31.62 | $48.98 | $83.18 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $177.83 Typical High $1,148.15 | Facility | None | $34.67 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $645.65 | Professional | None | $35.48 | $77.62 | $645.65 |
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 $29.51 Median $66.07 Typical High $102.33 | Professional | None | $29.51 | $66.07 | $102.33 |
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 $10.00 Median $11.75 Typical High $11.75 | Facility | 52 · Reduced service | $10.00 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $4.79 Typical High $4.79 | Facility | 53 · Discontinued | $3.98 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $15.14 Median $17.78 Typical High $17.78 | Facility | 54 · Surgery only | $15.14 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.02 Median $3.55 Typical High $3.55 | Facility | 55 · Aftercare only | $3.02 | $3.55 | $3.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.34 Typical High $2.34 | Facility | 56 · Pre-op care only | $2.00 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $11.75 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.79 Typical High $5.25 | Professional | 53 · Discontinued | $3.98 | $4.79 | $5.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $17.78 Typical High $19.50 | Professional | 54 · Surgery only | $15.14 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.55 Typical High $3.89 | Professional | 55 · Aftercare only | $3.02 | $3.55 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.34 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.00 | $2.34 | $2.63 |
Where Minnesota sits
The same service costs 4.3 times more in Wyoming than in New York. 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· 22nd of 51
$45.71
WY $89.13NY $20.89
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.