How much rates vary
Facilitymedian $1,318 · 10th to 90th $398 to $14,125Professionalmedian $457 · 10th to 90th $398 to $1,023
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | None | $389.05 | $398.11 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13,803.84 Median $25,118.86 Typical High $46,773.51 | Facility | None | $13,803.84 | $25,118.86 | $46,773.51 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $549.54 | Professional | None | $436.52 | $457.09 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $1,621.81 | Facility | None | $575.44 | $912.01 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $5,128.61 Typical High $12,589.25 | Facility | None | $676.08 | $5,128.61 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $1,318.26 | Professional | None | $398.11 | $645.65 | $1,318.26 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,318.26 | Professional | None | $398.11 | $676.08 | $1,318.26 |
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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.90 | $39.81 | $39.81 |
Where Minnesota sits
The same service costs 16.2 times more in Arkansas than in West 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· 39th of 51
$589
AR $6,918WV $427
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.