How much rates vary
Facilitymedian $324 · 10th to 90th $72 to $1,175Professionalmedian $240 · 10th to 90th $102 to $501
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 $72.44 Median $154.88 Typical High $154.88 | Facility | None | $72.44 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $154.88 | Professional | None | $72.44 | $114.82 | $154.88 |
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 $109.65 Median $251.19 Typical High $426.58 | Professional | None | $109.65 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $776.25 | Facility | None | $257.04 | $398.11 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $537.03 | Professional | None | $123.03 | $263.03 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $524.81 | Professional | None | $123.03 | $263.03 | $524.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $1,230.27 | Facility | None | $125.89 | $295.12 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $354.81 Typical High $1,148.15 | Professional | None | $194.98 | $354.81 | $1,148.15 |
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 $95.50 Median $208.93 Typical High $489.78 | Professional | None | $95.50 | $208.93 | $489.78 |
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 $36.31 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $36.31 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $14.45 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $53.70 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $10.72 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $7.24 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $36.31 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $14.45 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $93.33 Typical High $117.49 | Professional | 54 · Surgery only | $53.70 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $18.62 Typical High $23.44 | Professional | 55 · Aftercare only | $10.72 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $12.30 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.24 | $12.30 | $15.49 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska 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
$245
AK $309KY $97.72
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.