How much rates vary
Facilitymedian $912 · 10th to 90th $229 to $6,026Professionalmedian $257 · 10th to 90th $209 to $631
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | None | $223.87 | $229.09 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $977.24 Median $3,235.94 Typical High $7,413.10 | Facility | None | $977.24 | $3,235.94 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | None | $208.93 | $234.42 | $263.03 |
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 $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $954.99 | Facility | None | $338.84 | $537.03 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $3,630.78 Typical High $7,943.28 | Facility | None | $398.11 | $3,630.78 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $1,513.56 | Professional | None | $251.19 | $446.68 | $1,513.56 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,265.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $239.88 Median $436.52 Typical High $891.25 | Professional | None | $239.88 | $436.52 | $891.25 |
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 $114.82 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 54 · Surgery only | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | 54 · Surgery only | $165.96 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $22.91 |
Where Minnesota sits
The same service costs 19.5 times more in Texas 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· 40th of 51
$302
TX $1,778NY $91.20
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.