How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,148 to $23,988Professionalmedian $2,239 · 10th to 90th $1,318 to $3,981
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,148.15 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,309.57 Median $29,512.09 Typical High $67,608.30 | Facility | None | $6,309.57 | $29,512.09 | $67,608.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,187.76 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,230.27 Typical High $2,238.72 | Professional | 62 · Two surgeons | $831.76 | $1,230.27 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,698.24 | $2,630.27 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,365.16 | Professional | None | $1,995.26 | $2,884.03 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,513.56 | $2,454.71 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,698.24 | $2,570.40 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $6,456.54 Typical High $13,803.84 | Facility | None | $1,819.70 | $6,456.54 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,187.76 | $3,981.07 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $16,982.44 | Facility | None | $5,623.41 | $7,762.47 | $16,982.44 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,230.27 | $2,187.76 | $3,981.07 |
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 $575.44 Median $575.44 Typical High $575.44 | Facility | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 52 · Reduced service | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 53 · Discontinued | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $134.90 |
Where Minnesota sits
The same service costs 8.1 times more in Indiana 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.