How much rates vary
Facilitymedian $141 · 10th to 90th $26 to $1,288Professionalmedian $87 · 10th to 90th $42 to $182
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 $26.30 Median $58.88 Typical High $58.88 | Facility | None | $26.30 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $45.71 Typical High $58.88 | Professional | None | $26.30 | $45.71 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,344.23 | Facility | None | $660.69 | $1,202.26 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $162.18 | Professional | None | $43.65 | $95.50 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $295.12 | Facility | None | $100.00 | $154.88 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $208.93 | Professional | None | $44.67 | $100.00 | $208.93 |
Health Partners Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $245.47 | Facility | None | $87.10 | $141.25 | $245.47 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $100.00 Typical High $199.53 | Professional | None | $43.65 | $100.00 | $199.53 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $177.83 Typical High $1,445.44 | Facility | None | $50.12 | $177.83 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $446.68 | Professional | None | $67.61 | $134.90 | $446.68 |
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 $37.15 Median $75.86 Typical High $173.78 | Professional | None | $37.15 | $75.86 | $173.78 |
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 $13.18 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $13.18 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $5.25 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $19.50 Median $44.67 Typical High $44.67 | Facility | 54 · Surgery only | $19.50 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.89 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $3.89 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.63 Median $5.89 Typical High $5.89 | Facility | 56 · Pre-op care only | $2.63 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $13.18 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $9.77 Typical High $11.75 | Professional | 53 · Discontinued | $5.25 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $36.31 Typical High $44.67 | Professional | 54 · Surgery only | $19.50 | $36.31 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $7.41 Typical High $8.91 | Professional | 55 · Aftercare only | $3.89 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.90 Typical High $5.89 | Professional | 56 · Pre-op care only | $2.63 | $4.90 | $5.89 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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
$95.50
AK $138NJ $41.69
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.