How much rates vary
Facilitymedian $151 · 10th to 90th $51 to $794Professionalmedian $117 · 10th to 90th $65 to $219
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 $51.29 Median $67.61 Typical High $67.61 | Facility | None | $51.29 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | None | $51.29 | $67.61 | $67.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $1,122.02 | Facility | None | $263.03 | $537.03 | $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 $75.86 Median $120.23 Typical High $194.98 | Professional | None | $75.86 | $120.23 | $194.98 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $177.83 Typical High $288.40 | Professional | 50 · Both sides | $112.20 | $177.83 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $309.03 | Facility | None | $104.71 | $162.18 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $245.47 | Professional | None | $81.28 | $138.04 | $245.47 |
Health Partners Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $263.03 | Facility | None | $93.33 | $154.88 | $263.03 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $218.78 | Professional | None | $79.43 | $131.83 | $218.78 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $1,148.15 | Facility | None | $85.11 | $194.98 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $1,862.09 | Professional | None | $70.79 | $125.89 | $1,862.09 |
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 $61.66 Median $97.72 Typical High $213.80 | Professional | None | $61.66 | $97.72 | $213.80 |
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 $25.70 Median $33.88 Typical High $33.88 | Facility | 52 · Reduced service | $25.70 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $13.49 Typical High $13.49 | Facility | 53 · Discontinued | $10.23 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.90 Median $51.29 Typical High $51.29 | Facility | 54 · Surgery only | $38.90 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.76 Median $10.23 Typical High $10.23 | Facility | 55 · Aftercare only | $7.76 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.76 Typical High $6.76 | Facility | 56 · Pre-op care only | $5.13 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $25.70 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $50.12 Typical High $51.29 | Professional | 54 · Surgery only | $38.90 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $10.00 Typical High $10.23 | Professional | 55 · Aftercare only | $7.76 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.13 | $6.76 | $6.76 |
Where Minnesota sits
The same service costs 3.7 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
$120
AK $191FL $51.29
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.