How much rates vary
Facilitymedian $204 · 10th to 90th $151 to $331Professionalmedian $174 · 10th to 90th $155 to $209
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None | $173.78 | $173.78 | $186.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $331.13 | Facility | None | $151.36 | $239.88 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | None | $138.04 | $158.49 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $489.78 | Facility | None | $208.93 | $251.19 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $208.93 | Professional | None | $165.96 | $173.78 | $208.93 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $229.09 Typical High $588.84 | Facility | None | $199.53 | $229.09 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $309.03 | Facility | None | $162.18 | $275.42 | $309.03 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $295.12 | Professional | None | $151.36 | $173.78 | $295.12 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $269.15 | Professional | None | $162.18 | $173.78 | $269.15 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | 54 · Surgery only | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.78 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 34th of 51
$174
AK $214AZ $166
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.