How much rates vary
Facilitymedian $87 · 10th to 90th $14 to $575Professionalmedian $48 · 10th to 90th $21 to $105
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 $14.13 Median $33.88 Typical High $33.88 | Facility | None | $14.13 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $33.88 | Professional | None | $14.13 | $27.54 | $33.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $467.74 | Facility | None | $79.43 | $213.80 | $467.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $91.20 | Professional | None | $22.91 | $53.70 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $165.96 | Facility | None | $52.48 | $87.10 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $56.23 Typical High $117.49 | Professional | None | $23.99 | $56.23 | $117.49 |
Health Partners Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $138.04 | Facility | None | $48.98 | $79.43 | $138.04 |
Health Partners Setting Professional Modifier None Typical Low $23.44 Median $56.23 Typical High $112.20 | Professional | None | $23.44 | $56.23 | $112.20 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $177.83 Typical High $1,230.27 | Facility | None | $26.30 | $177.83 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $245.47 | Professional | None | $38.90 | $77.62 | $245.47 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,778.28 | Facility | None | $125.89 | $354.81 | $1,778.28 |
United Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $100.00 | Professional | None | $19.05 | $42.66 | $100.00 |
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 $7.08 Median $16.98 Typical High $16.98 | Facility | 52 · Reduced service | $7.08 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $6.76 Typical High $6.76 | Facility | 53 · Discontinued | $2.82 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $10.47 Median $25.12 Typical High $25.12 | Facility | 54 · Surgery only | $10.47 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.09 Median $5.13 Typical High $5.13 | Facility | 55 · Aftercare only | $2.09 | $5.13 | $5.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.41 Median $3.39 Typical High $3.39 | Facility | 56 · Pre-op care only | $1.41 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $7.08 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $2.82 | $5.50 | $6.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.47 Median $20.89 Typical High $25.12 | Professional | 54 · Surgery only | $10.47 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $4.17 Typical High $5.13 | Professional | 55 · Aftercare only | $2.09 | $4.17 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $2.75 Typical High $3.39 | Professional | 56 · Pre-op care only | $1.41 | $2.75 | $3.39 |
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
$52.48
AK $83.18NJ $23.99
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.