How much rates vary
Facilitymedian $174 · 10th to 90th $21 to $741Professionalmedian $89 · 10th to 90th $33 to $251
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 $21.38 Median $40.74 Typical High $83.18 | Facility | None | $21.38 | $40.74 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $54.95 Typical High $83.18 | Professional | None | $21.38 | $54.95 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,479.11 | Facility | None | $263.03 | $660.69 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $35.48 Median $112.20 Typical High $223.87 | Professional | None | $35.48 | $112.20 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $407.38 | Facility | None | $131.83 | $213.80 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $131.83 Typical High $295.12 | Professional | None | $37.15 | $131.83 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $346.74 | Facility | None | $123.03 | $199.53 | $346.74 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $138.04 Typical High $275.42 | Professional | None | $35.48 | $138.04 | $275.42 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $199.53 Typical High $1,230.27 | Facility | None | $45.71 | $199.53 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $616.60 | Professional | None | $79.43 | $177.83 | $616.60 |
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 $29.51 Median $83.18 Typical High $229.09 | Professional | None | $29.51 | $83.18 | $229.09 |
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 $10.72 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $10.72 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $4.27 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $15.85 Median $61.66 Typical High $61.66 | Facility | 54 · Surgery only | $15.85 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.24 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $3.24 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.14 Median $8.32 Typical High $8.32 | Facility | 56 · Pre-op care only | $2.14 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $30.90 Typical High $41.69 | Professional | 52 · Reduced service | $10.72 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $12.30 Typical High $16.60 | Professional | 53 · Discontinued | $4.27 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $46.77 Typical High $61.66 | Professional | 54 · Surgery only | $15.85 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $9.33 Typical High $12.30 | Professional | 55 · Aftercare only | $3.24 | $9.33 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $6.17 Typical High $8.32 | Professional | 56 · Pre-op care only | $2.14 | $6.17 | $8.32 |
Where Minnesota sits
The same service costs 3.4 times more in Wisconsin 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
$100
WI $123KY $36.31
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.