How much rates vary
Facilitymedian $288 · 10th to 90th $58 to $832Professionalmedian $200 · 10th to 90th $83 to $437
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 $57.54 Median $138.04 Typical High $138.04 | Facility | None | $57.54 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $112.20 Typical High $144.54 | Professional | None | $57.54 | $112.20 | $144.54 |
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 $87.10 Median $213.80 Typical High $380.19 | Professional | None | $87.10 | $213.80 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $676.08 | Facility | None | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $501.19 | Professional | None | $100.00 | $234.42 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $575.44 | Facility | None | $204.17 | $331.13 | $575.44 |
Health Partners Setting Professional Modifier None Typical Low $97.72 Median $229.09 Typical High $457.09 | Professional | None | $97.72 | $229.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $281.84 Typical High $1,230.27 | Facility | None | $102.33 | $281.84 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $1,023.29 | Professional | None | $173.78 | $281.84 | $1,023.29 |
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 $79.43 Median $186.21 Typical High $426.58 | Professional | None | $79.43 | $186.21 | $426.58 |
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 $28.84 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $28.84 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $11.48 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $43.65 Median $102.33 Typical High $102.33 | Facility | 54 · Surgery only | $43.65 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.71 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $8.71 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $5.75 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $28.84 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $11.48 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $83.18 Typical High $102.33 | Professional | 54 · Surgery only | $43.65 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $8.71 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $10.96 Typical High $13.80 | Professional | 56 · Pre-op care only | $5.75 | $10.96 | $13.80 |
Where Minnesota sits
The same service costs 3.5 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
$214
AK $302NJ $85.11
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.