How much rates vary
Facilitymedian $224 · 10th to 90th $62 to $759Professionalmedian $138 · 10th to 90th $72 to $263
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 $61.66 Median $95.50 Typical High $95.50 | Facility | None | $61.66 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $95.50 | Professional | None | $61.66 | $89.13 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $467.74 Typical High $776.25 | Facility | None | $263.03 | $467.74 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $245.47 | Professional | None | $89.13 | $162.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $489.78 | Facility | None | $165.96 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $141.25 | Professional | None | $72.44 | $93.33 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $416.87 | Facility | None | $147.91 | $239.88 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $109.65 | Professional | None | $72.44 | $97.72 | $109.65 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $1,148.15 | Facility | None | $120.23 | $229.09 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $758.58 | Professional | None | $134.90 | $251.19 | $758.58 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $323.59 | Professional | None | $89.13 | $154.88 | $323.59 |
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 $30.90 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $30.90 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $12.59 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $46.77 Median $70.79 Typical High $70.79 | Facility | 54 · Surgery only | $46.77 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $14.13 Typical High $14.13 | Facility | 55 · Aftercare only | $9.33 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $6.17 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $30.90 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $12.59 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $63.10 Typical High $70.79 | Professional | 54 · Surgery only | $46.77 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $9.33 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $9.55 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 10th of 51
$141
AK $263VA $77.62
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.