How much rates vary
Facilitymedian $1,148 · 10th to 90th $331 to $14,125Professionalmedian $417 · 10th to 90th $331 to $1,072
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | None | $323.59 | $331.13 | $331.13 |
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 $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $478.63 | Professional | None | $380.19 | $398.11 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $12,589.25 | Facility | None | $602.56 | $5,128.61 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $1,348.96 | Professional | None | $416.87 | $660.69 | $1,348.96 |
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 $371.54 Median $660.69 Typical High $1,348.96 | Professional | None | $371.54 | $660.69 | $1,348.96 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $48.98 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $32.36 | $33.11 | $33.11 |
Where Minnesota sits
The same service costs 15.8 times more in Arkansas than in Maine. 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· 37th of 51
$575
AR $6,918ME $437
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.