How much rates vary
Facilitymedian $617 · 10th to 90th $120 to $3,236Professionalmedian $380 · 10th to 90th $182 to $794
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 $120.23 Median $223.87 Typical High $223.87 | Facility | None | $120.23 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $295.12 | Professional | None | $120.23 | $213.80 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $5,623.41 | Facility | None | $724.44 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $5,495.41 Typical High $9,772.37 | Facility | 50 · Both sides | $2,951.21 | $5,495.41 | $9,772.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $707.95 | Professional | None | $194.98 | $380.19 | $707.95 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $562.34 Typical High $1,047.13 | Professional | 50 · Both sides | $295.12 | $562.34 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $954.99 | Professional | None | $269.15 | $512.86 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $933.25 | Facility | None | $331.13 | $537.03 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $831.76 | Professional | None | $239.88 | $446.68 | $831.76 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $1,230.27 Typical High $3,548.13 | Facility | None | $263.03 | $1,230.27 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $588.84 Typical High $5,754.40 | Professional | None | $251.19 | $588.84 | $5,754.40 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $758.58 | Professional | None | $173.78 | $354.81 | $758.58 |
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 $60.26 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $60.26 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $23.99 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $91.20 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $91.20 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $18.20 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $22.39 Typical High $22.39 | Facility | 56 · Pre-op care only | $12.02 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $60.26 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $23.99 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $158.49 Typical High $169.82 | Professional | 54 · Surgery only | $91.20 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $31.62 Typical High $33.88 | Professional | 55 · Aftercare only | $18.20 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $12.02 | $20.89 | $22.39 |
Where Minnesota sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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· 7th of 51
$407
OK $692TX $214
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.