How much rates vary
Facilitymedian $100 · 10th to 90th $27 to $309Professionalmedian $37 · 10th to 90th $16 to $65
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 $15.85 Median $100.00 Typical High $309.03 | Facility | None | $15.85 | $100.00 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $26.92 | Professional | None | $14.45 | $15.85 | $26.92 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $263.03 | Facility | None | $79.43 | $147.91 | $263.03 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $117.49 Median $223.87 Typical High $398.11 | Facility | 50 · Both sides | $117.49 | $223.87 | $398.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $54.95 | Professional | None | $28.18 | $37.15 | $54.95 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $56.23 Typical High $83.18 | Professional | 50 · Both sides | $41.69 | $56.23 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $77.62 | Facility | None | $26.30 | $40.74 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $75.86 | Professional | None | $30.20 | $47.86 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $66.07 | Facility | None | $23.44 | $38.02 | $66.07 |
Health Partners Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $66.07 | Professional | None | $26.92 | $42.66 | $66.07 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $169.82 Typical High $912.01 | Facility | None | $28.18 | $169.82 | $912.01 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $33.88 Typical High $117.49 | Professional | None | $16.60 | $33.88 | $117.49 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,778.28 | Facility | None | $125.89 | $354.81 | $1,778.28 |
United Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $54.95 | Professional | None | $15.85 | $29.51 | $54.95 |
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 $7.94 Median $7.94 Typical High $7.94 | Facility | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 54 · Surgery only | $12.02 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | 55 · Aftercare only | $2.40 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | 56 · Pre-op care only | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.24 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.88 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 54 · Surgery only | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.19 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.45 | $1.58 | $1.58 |
Where Minnesota sits
The same service costs 7.4 times more in Kansas 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· 6th of 51
$45.71
KS $95.50KY $12.88
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.