How much rates vary
Facilitymedian $93 · 10th to 90th $71 to $166Professionalmedian $79 · 10th to 90th $71 to $100
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | None | $75.86 | $75.86 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $154.88 | Facility | None | $70.79 | $147.91 | $154.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $79.43 | Professional | None | $63.10 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $234.42 | Facility | None | $93.33 | $114.82 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | None | $79.43 | $79.43 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $288.40 | Facility | None | $89.13 | $102.33 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $173.78 | Facility | None | $74.13 | $125.89 | $173.78 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $134.90 | Professional | None | $74.13 | $79.43 | $134.90 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $123.03 | Professional | None | $75.86 | $79.43 | $123.03 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 54 · Surgery only | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 54 · Surgery only | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.94 |
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· 11th of 51
$79.43
AK $93.33NJ $75.86
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.