How much rates vary
Facilitymedian $229 · 10th to 90th $52 to $1,096Professionalmedian $174 · 10th to 90th $81 to $347
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 $52.48 Median $100.00 Typical High $100.00 | Facility | None | $52.48 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $117.49 | Professional | None | $52.48 | $85.11 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,778.28 | Facility | None | $537.03 | $1,023.29 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $302.00 | Professional | None | $83.18 | $169.82 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $489.78 | Facility | None | $173.78 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $426.58 | Professional | None | $117.49 | $223.87 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $416.87 | Facility | None | $147.91 | $245.47 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $371.54 | Professional | None | $102.33 | $194.98 | $371.54 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $1,148.15 | Facility | None | $100.00 | $257.04 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $426.58 | Professional | None | $138.04 | $257.04 | $426.58 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $346.74 | Professional | None | $83.18 | $177.83 | $346.74 |
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 $26.30 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $26.30 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $10.47 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.90 Median $74.13 Typical High $74.13 | Facility | 54 · Surgery only | $38.90 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $14.79 Typical High $14.79 | Facility | 55 · Aftercare only | $7.94 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.25 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $5.25 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $26.30 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $10.47 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $64.57 Typical High $74.13 | Professional | 54 · Surgery only | $38.90 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $12.88 Typical High $14.79 | Professional | 55 · Aftercare only | $7.94 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $8.51 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.25 | $8.51 | $10.00 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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
$182
AK $257PA $93.33
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.