How much rates vary
Facilitymedian $257 · 10th to 90th $47 to $832Professionalmedian $174 · 10th to 90th $69 to $389
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 $46.77 Median $123.03 Typical High $123.03 | Facility | None | $46.77 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $125.89 | Professional | None | $46.77 | $89.13 | $125.89 |
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 $74.13 Median $190.55 Typical High $331.13 | Professional | None | $74.13 | $190.55 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $602.56 | Facility | None | $190.55 | $316.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $426.58 | Professional | None | $81.28 | $204.17 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $512.86 | Facility | None | $181.97 | $288.40 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $407.38 | Professional | None | $79.43 | $204.17 | $407.38 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $257.04 Typical High $1,230.27 | Facility | None | $83.18 | $257.04 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $912.01 | Professional | None | $147.91 | $245.47 | $912.01 |
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 $66.07 Median $154.88 Typical High $380.19 | Professional | None | $66.07 | $154.88 | $380.19 |
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 $23.44 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $23.44 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $9.33 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $35.48 Median $91.20 Typical High $91.20 | Facility | 54 · Surgery only | $35.48 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $18.20 Typical High $18.20 | Facility | 55 · Aftercare only | $7.08 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $12.30 Typical High $12.30 | Facility | 56 · Pre-op care only | $4.68 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $23.44 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $9.33 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $72.44 Typical High $91.20 | Professional | 54 · Surgery only | $35.48 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $14.45 Typical High $18.20 | Professional | 55 · Aftercare only | $7.08 | $14.45 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $9.77 Typical High $12.30 | Professional | 56 · Pre-op care only | $4.68 | $9.77 | $12.30 |
Where Minnesota sits
The same service costs 3.4 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
$182
AK $251NJ $74.13
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.