How much rates vary
Facilitymedian $2,291 · 10th to 90th $759 to $10,000Professionalmedian $977 · 10th to 90th $537 to $1,230
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | None | $724.44 | $758.58 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12,882.50 Median $25,118.86 Typical High $46,773.51 | Facility | None | $12,882.50 | $25,118.86 | $46,773.51 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,230.27 | Professional | None | $977.24 | $1,023.29 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,548.82 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $1,412.54 | Professional | None | $436.52 | $707.95 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,479.11 | Professional | None | $457.09 | $812.83 | $1,479.11 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $363.08 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $109.65 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $72.44 | $75.86 | $75.86 |
Where Minnesota sits
The same service costs 14.8 times more in Texas 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· 26th of 51
$1,202
TX $5,129ME $347
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.