How much rates vary
Facilitymedian $174 · 10th to 90th $46 to $490Professionalmedian $145 · 10th to 90th $71 to $288
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 $14.79 Median $79.43 Typical High $186.21 | Facility | None | $14.79 | $79.43 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $120.23 | Professional | None | $45.71 | $79.43 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $229.09 Typical High $489.78 | Facility | None | $131.83 | $229.09 | $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 $75.86 Median $144.54 Typical High $251.19 | Professional | None | $75.86 | $144.54 | $251.19 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $213.80 Typical High $380.19 | Professional | 50 · Both sides | $114.82 | $213.80 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $398.11 | Facility | None | $134.90 | $208.93 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $338.84 | Professional | None | $104.71 | $186.21 | $338.84 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $331.13 | Facility | None | $120.23 | $190.55 | $331.13 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $323.59 | Professional | None | $89.13 | $162.18 | $323.59 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $208.93 Typical High $912.01 | Facility | None | $87.10 | $208.93 | $912.01 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $478.63 | Professional | None | $104.71 | $213.80 | $478.63 |
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 $64.57 Median $144.54 Typical High $288.40 | Professional | None | $64.57 | $144.54 | $288.40 |
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 $22.91 Median $39.81 Typical High $39.81 | Facility | 52 · Reduced service | $22.91 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $15.85 Typical High $15.85 | Facility | 53 · Discontinued | $9.12 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $34.67 Median $60.26 Typical High $60.26 | Facility | 54 · Surgery only | $34.67 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $12.02 Typical High $12.02 | Facility | 55 · Aftercare only | $6.92 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.57 Median $7.94 Typical High $7.94 | Facility | 56 · Pre-op care only | $4.57 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $22.91 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $9.12 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $56.23 Typical High $60.26 | Professional | 54 · Surgery only | $34.67 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $11.22 Typical High $12.02 | Professional | 55 · Aftercare only | $6.92 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $7.41 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.57 | $7.41 | $7.94 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 4th of 51
$151
AK $214KY $64.57
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.