How much rates vary
Facilitymedian $126 · 10th to 90th $42 to $1,479Professionalmedian $87 · 10th to 90th $48 to $170
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $109.65 Median $1,000.00 Typical High $2,344.23 | Facility | None | $109.65 | $1,000.00 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $147.91 | Professional | None | $66.07 | $85.11 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $208.93 | Facility | None | $70.79 | $109.65 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $181.97 | Professional | None | $70.79 | $100.00 | $181.97 |
Health Partners Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $173.78 | Facility | None | $63.10 | $100.00 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $169.82 | Professional | None | $70.79 | $100.00 | $169.82 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $309.03 Typical High $1,479.11 | Facility | None | $74.13 | $309.03 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $616.60 | Professional | None | $56.23 | $89.13 | $616.60 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,995.26 | Facility | None | $125.89 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $165.96 | Professional | None | $53.70 | $81.28 | $165.96 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 54 · Surgery only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 54 · Surgery only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Where Minnesota sits
The same service costs 13.8 times more in Oklahoma 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· 11th of 51
$91.20
OK $575NY $41.69
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.