How much rates vary
Facilitymedian $288 · 10th to 90th $59 to $1,023Professionalmedian $123 · 10th to 90th $60 to $224
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 $47.86 Median $575.44 Typical High $1,174.90 | Facility | None | $47.86 | $575.44 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $66.07 | Professional | None | $47.86 | $56.23 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $234.42 | Facility | None | $67.61 | $125.89 | $234.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $194.98 | Professional | None | $77.62 | $123.03 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $295.12 | Facility | None | $97.72 | $151.36 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $257.04 | Professional | None | $102.33 | $162.18 | $257.04 |
Health Partners Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $245.47 | Facility | None | $87.10 | $144.54 | $245.47 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $239.88 | Professional | None | $87.10 | $144.54 | $239.88 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $323.59 Typical High $954.99 | Facility | None | $91.20 | $323.59 | $954.99 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $371.54 | Professional | None | $77.62 | $154.88 | $371.54 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $213.80 | Professional | None | $61.66 | $112.20 | $213.80 |
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 $23.99 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $23.99 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $9.55 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $35.48 Median $43.65 Typical High $43.65 | Facility | 54 · Surgery only | $35.48 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $7.08 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.89 Typical High $5.89 | Facility | 56 · Pre-op care only | $4.79 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $9.55 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $40.74 Typical High $43.65 | Professional | 54 · Surgery only | $35.48 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.13 Typical High $8.91 | Professional | 55 · Aftercare only | $7.08 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.50 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.79 | $5.50 | $5.89 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 3rd of 51
$132
AK $240KY $50.12
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.