How much rates vary
Facilitymedian $851 · 10th to 90th $229 to $7,079Professionalmedian $295 · 10th to 90th $229 to $759
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | None | $218.78 | $229.09 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,786.30 Median $8,912.51 Typical High $16,218.10 | Facility | None | $4,786.30 | $8,912.51 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,202.26 | Facility | None | $407.38 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $346.74 | Professional | None | $275.42 | $288.40 | $346.74 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,023.29 | Facility | None | $363.08 | $588.84 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,818.38 Typical High $6,918.31 | Facility | None | $436.52 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $954.99 | Professional | None | $295.12 | $467.74 | $954.99 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,549.93 | Facility | None | $1,995.26 | $3,090.30 | $9,549.93 |
United Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $954.99 | Professional | None | $269.15 | $457.09 | $954.99 |
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 $114.82 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $109.65 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 54 · Surgery only | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $21.88 | $22.91 | $22.91 |
Where Minnesota sits
The same service costs 10.7 times more in Colorado 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· 39th of 51
$407
CO $2,512ME $234
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.