How much rates vary
Facilitymedian $646 · 10th to 90th $295 to $3,236Professionalmedian $214 · 10th to 90th $155 to $851
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 $295.12 Median $295.12 Typical High $3,235.94 | Facility | None | $295.12 | $295.12 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | None | $288.40 | $295.12 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,570.40 | Facility | None | $758.58 | $1,445.44 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $190.55 | Professional | None | $138.04 | $169.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Facility | None | $309.03 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $263.03 | Professional | None | $208.93 | $218.78 | $263.03 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $776.25 | Facility | None | $275.42 | $446.68 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $2,570.40 | Facility | None | $371.54 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $588.84 Typical High $2,041.74 | Professional | None | $218.78 | $588.84 | $2,041.74 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $218.78 Median $489.78 Typical High $1,202.26 | Professional | None | $218.78 | $489.78 | $1,202.26 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 54 · Surgery only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $28.84 | $29.51 | $29.51 |
Where Minnesota sits
The same service costs 8.3 times more in Oklahoma than in Rhode Island. 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· 47th of 51
$295
OK $1,514RI $182
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.