How much rates vary
Facilitymedian $174 · 10th to 90th $49 to $692Professionalmedian $141 · 10th to 90th $76 to $275
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 $48.98 Median $81.28 Typical High $81.28 | Facility | None | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $81.28 | Professional | None | $48.98 | $69.18 | $81.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $109.65 Median $316.23 Typical High $758.58 | Facility | None | $109.65 | $316.23 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $245.47 | Professional | None | $79.43 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $407.38 | Facility | None | $134.90 | $208.93 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $309.03 | Professional | None | $83.18 | $165.96 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Facility | None | $120.23 | $194.98 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $316.23 | Professional | None | $83.18 | $144.54 | $316.23 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $1,148.15 | Facility | None | $87.10 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $616.60 | Professional | None | $97.72 | $186.21 | $616.60 |
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 $64.57 Median $117.49 Typical High $245.47 | Professional | None | $64.57 | $117.49 | $245.47 |
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 $24.55 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $24.55 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $10.00 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $37.15 Median $60.26 Typical High $60.26 | Facility | 54 · Surgery only | $37.15 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $7.41 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $8.13 Typical High $8.13 | Facility | 56 · Pre-op care only | $4.90 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $24.55 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $10.00 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $52.48 Typical High $60.26 | Professional | 54 · Surgery only | $37.15 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $10.47 Typical High $12.30 | Professional | 55 · Aftercare only | $7.41 | $10.47 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.92 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.90 | $6.92 | $8.13 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in New York. 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
$145
AK $209NY $61.66
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.