How much rates vary
Facilitymedian $355 · 10th to 90th $151 to $1,288Professionalmedian $229 · 10th to 90th $151 to $468
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | None | $151.36 | $151.36 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $2,041.74 | Facility | None | $776.25 | $1,096.48 | $2,041.74 |
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 $269.15 Median $426.58 Typical High $812.83 | Facility | None | $269.15 | $426.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $229.09 | Professional | None | $181.97 | $194.98 | $229.09 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $676.08 | Facility | None | $239.88 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,445.44 | Facility | None | $125.89 | $331.13 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $1,318.26 | Professional | None | $208.93 | $363.08 | $1,318.26 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $776.25 | Professional | None | $208.93 | $338.84 | $776.25 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 54 · Surgery only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 54 · Surgery only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Where Minnesota sits
The same service costs 18.6 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· 30th of 51
$234
TX $1,047NY $56.23
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.