How much rates vary
Facilitymedian $316 · 10th to 90th $69 to $1,175Professionalmedian $234 · 10th to 90th $98 to $479
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 $69.18 Median $151.36 Typical High $151.36 | Facility | None | $69.18 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $151.36 | Professional | None | $69.18 | $120.23 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $1,778.28 | Facility | None | $524.81 | $933.25 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $239.88 Typical High $416.87 | Professional | None | $104.71 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $758.58 | Facility | None | $251.19 | $389.05 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $257.04 Typical High $537.03 | Professional | None | $120.23 | $257.04 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $630.96 | Facility | None | $223.87 | $363.08 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $512.86 | Professional | None | $117.49 | $257.04 | $512.86 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $1,318.26 | Facility | None | $123.03 | $302.00 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $1,122.02 | Professional | None | $190.55 | $346.74 | $1,122.02 |
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 $93.33 Median $204.17 Typical High $478.63 | Professional | None | $93.33 | $204.17 | $478.63 |
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 $34.67 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $34.67 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $13.80 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $51.29 Median $112.20 Typical High $112.20 | Facility | 54 · Surgery only | $51.29 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $10.47 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $6.92 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $61.66 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $13.80 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $91.20 Typical High $112.20 | Professional | 54 · Surgery only | $51.29 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $10.47 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $12.30 Typical High $15.14 | Professional | 56 · Pre-op care only | $6.92 | $12.30 | $15.14 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$240
AK $355MD $100
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.