How much rates vary
Facilitymedian $1,413 · 10th to 90th $407 to $11,482Professionalmedian $589 · 10th to 90th $398 to $1,096
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | None | $380.19 | $407.38 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,995.26 Median $11,220.18 Typical High $26,302.68 | Facility | None | $1,995.26 | $11,220.18 | $26,302.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,071.52 | Professional | None | $524.81 | $707.95 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $446.68 Typical High $676.08 | Professional | 62 · Two surgeons | $331.13 | $446.68 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Facility | None | $588.84 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | None | $346.74 | $398.11 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,479.11 | Facility | None | $524.81 | $851.14 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $398.11 | Professional | None | $275.42 | $398.11 | $398.11 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $4,897.79 Typical High $10,715.19 | Facility | None | $630.96 | $4,897.79 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $2,290.87 | Professional | None | $398.11 | $724.44 | $2,290.87 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $1,288.25 | Professional | None | $371.54 | $676.08 | $1,288.25 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $190.55 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $40.74 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in New York. 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
$661
AK $1,479NY $331
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.