How much rates vary
Facilitymedian $132 · 10th to 90th $27 to $912Professionalmedian $93 · 10th to 90th $42 to $191
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 $26.92 Median $61.66 Typical High $61.66 | Facility | None | $26.92 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $61.66 | Professional | None | $26.92 | $52.48 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $4,677.35 | Facility | None | $1,380.38 | $2,511.89 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $107.15 Typical High $169.82 | Professional | None | $43.65 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $302.00 | Facility | None | $102.33 | $158.49 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $104.71 Typical High $218.78 | Professional | None | $46.77 | $104.71 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $257.04 | Facility | None | $91.20 | $144.54 | $257.04 |
Health Partners Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $204.17 | Professional | None | $45.71 | $102.33 | $204.17 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $177.83 Typical High $1,148.15 | Facility | None | $47.86 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $1,445.44 | Professional | None | $74.13 | $141.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $38.02 Median $81.28 Typical High $186.21 | Professional | None | $38.02 | $81.28 | $186.21 |
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 $13.49 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $13.49 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $5.37 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $20.42 Median $45.71 Typical High $45.71 | Facility | 54 · Surgery only | $20.42 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.07 Median $9.12 Typical High $9.12 | Facility | 55 · Aftercare only | $4.07 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.69 Median $6.17 Typical High $6.17 | Facility | 56 · Pre-op care only | $2.69 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $26.30 Typical High $30.20 | Professional | 52 · Reduced service | $13.49 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $10.47 Typical High $12.30 | Professional | 53 · Discontinued | $5.37 | $10.47 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $38.90 Typical High $45.71 | Professional | 54 · Surgery only | $20.42 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $7.76 Typical High $9.12 | Professional | 55 · Aftercare only | $4.07 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $5.25 Typical High $6.17 | Professional | 56 · Pre-op care only | $2.69 | $5.25 | $6.17 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$100
AK $148TX $37.15
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.