How much rates vary
Facilitymedian $107 · 10th to 90th $36 to $933Professionalmedian $78 · 10th to 90th $42 to $148
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 $36.31 Median $44.67 Typical High $44.67 | Facility | None | $36.31 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $47.86 | Professional | None | $36.31 | $41.69 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $97.72 Median $660.69 Typical High $1,513.56 | Facility | None | $97.72 | $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 $54.95 Median $85.11 Typical High $128.82 | Professional | None | $54.95 | $85.11 | $128.82 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $128.82 Typical High $194.98 | Professional | 50 · Both sides | $83.18 | $128.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $204.17 | Facility | None | $69.18 | $107.15 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $95.50 Typical High $169.82 | Professional | None | $56.23 | $95.50 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $61.66 Median $102.33 Typical High $173.78 | Facility | None | $61.66 | $102.33 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $144.54 | Professional | None | $56.23 | $89.13 | $144.54 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $177.83 Typical High $1,318.26 | Facility | None | $57.54 | $177.83 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $812.83 | Professional | None | $46.77 | $85.11 | $812.83 |
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 $40.74 Median $67.61 Typical High $147.91 | Professional | None | $40.74 | $67.61 | $147.91 |
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 $18.20 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $7.24 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $27.54 Median $33.11 Typical High $33.11 | Facility | 54 · Surgery only | $27.54 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.50 Median $6.61 Typical High $6.61 | Facility | 55 · Aftercare only | $5.50 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $3.63 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.24 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 54 · Surgery only | $27.54 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $5.50 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $4.47 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$81.28
AK $135UT $35.48
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.