How much rates vary
Facilitymedian $575 · 10th to 90th $245 to $1,514Professionalmedian $661 · 10th to 90th $363 to $1,259
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 $245.47 Median $371.54 Typical High $371.54 | Facility | None | $245.47 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $371.54 | Professional | None | $245.47 | $316.23 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,513.56 | Facility | None | $489.78 | $776.25 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,122.02 | Professional | None | $407.38 | $691.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,819.70 | Facility | None | $616.60 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $1,348.96 | Professional | None | $416.87 | $794.33 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,548.82 | Facility | None | $549.54 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,445.44 | Professional | None | $407.38 | $676.08 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $1,348.96 | Facility | None | $131.83 | $467.74 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $870.96 Typical High $2,754.23 | Professional | None | $416.87 | $870.96 | $2,754.23 |
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 $295.12 Median $524.81 Typical High $1,148.15 | Professional | None | $295.12 | $524.81 | $1,148.15 |
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 $123.03 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $123.03 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $48.98 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $275.42 Typical High $275.42 | Facility | 54 · Surgery only | $181.97 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $36.31 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $24.55 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $63.10 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $239.88 Typical High $275.42 | Professional | 54 · Surgery only | $181.97 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $47.86 Typical High $54.95 | Professional | 55 · Aftercare only | $36.31 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $31.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $24.55 | $31.62 | $37.15 |
Where Minnesota sits
The same service costs 4.0 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
$661
AK $1,023NY $257
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.