How much rates vary
Facilitymedian $62 · 10th to 90th $55 to $575Professionalmedian $120 · 10th to 90th $62 to $331
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 $54.95 Median $61.66 Typical High $61.66 | Facility | None | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $79.43 | Professional | None | $54.95 | $61.66 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.90 Median $165.96 Typical High $263.03 | Facility | None | $38.90 | $165.96 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $181.97 | Professional | None | $77.62 | $120.23 | $181.97 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $177.83 Typical High $269.15 | Professional | 50 · Both sides | $117.49 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $575.44 | Facility | None | $134.90 | $204.17 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $125.89 Typical High $218.78 | Professional | None | $58.88 | $125.89 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $446.68 | Facility | None | $120.23 | $190.55 | $446.68 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $208.93 | Professional | None | $87.10 | $144.54 | $208.93 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $104.71 Typical High $2,398.83 | Facility | None | $79.43 | $104.71 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $812.83 Typical High $3,467.37 | Professional | None | $77.62 | $812.83 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $223.87 | Professional | None | $57.54 | $107.15 | $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 $27.54 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $27.54 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $10.96 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $40.74 Median $46.77 Typical High $46.77 | Facility | 54 · Surgery only | $40.74 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $9.33 Typical High $9.33 | Facility | 55 · Aftercare only | $8.32 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $6.17 | Facility | 56 · Pre-op care only | $5.50 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $39.81 | Professional | 52 · Reduced service | $27.54 | $30.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $10.96 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $46.77 Typical High $60.26 | Professional | 54 · Surgery only | $40.74 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.33 Typical High $12.02 | Professional | 55 · Aftercare only | $8.32 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.50 | $6.17 | $7.94 |
Where Minnesota sits
The same service costs 3.4 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· 6th of 51
$120
AK $182FL $53.70
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.