How much rates vary
Facilitymedian $355 · 10th to 90th $68 to $977Professionalmedian $331 · 10th to 90th $115 to $832
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 $67.61 Median $234.42 Typical High $234.42 | Facility | None | $67.61 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $199.53 Typical High $234.42 | Professional | None | $67.61 | $199.53 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $389.05 | Facility | None | $114.82 | $208.93 | $389.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $117.49 Median $346.74 Typical High $691.83 | Professional | None | $117.49 | $346.74 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $1,000.00 | Professional | None | $151.36 | $416.87 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $977.24 | Facility | None | $354.81 | $562.34 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $346.74 Typical High $870.96 | Professional | None | $138.04 | $346.74 | $870.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,148.15 | Facility | None | $125.89 | $331.13 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $758.58 Typical High $1,230.27 | Professional | None | $346.74 | $758.58 | $1,230.27 |
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 $114.82 Median $316.23 Typical High $1,000.00 | Professional | None | $114.82 | $316.23 | $1,000.00 |
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 $33.88 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $33.88 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $13.49 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $51.29 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $51.29 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $10.23 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $6.76 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $33.88 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $13.49 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $151.36 Typical High $177.83 | Professional | 54 · Surgery only | $51.29 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $30.20 Typical High $35.48 | Professional | 55 · Aftercare only | $10.23 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $19.95 Typical High $23.44 | Professional | 56 · Pre-op care only | $6.76 | $19.95 | $23.44 |
Where Minnesota sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 8th of 51
$339
OK $575NE $129
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.