How much rates vary
Facilitymedian $1,047 · 10th to 90th $363 to $7,244Professionalmedian $363 · 10th to 90th $42 to $1,047
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | None | $363.08 | $363.08 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $5,754.40 Typical High $13,803.84 | Facility | None | $61.66 | $5,754.40 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | None | $41.69 | $46.77 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,348.96 | Professional | None | $524.81 | $776.25 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,258.93 | Professional | None | $524.81 | $741.31 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $9,332.54 | Facility | None | $1,995.26 | $2,884.03 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $9,120.11 | Facility | None | $1,995.26 | $3,090.30 | $9,120.11 |
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 $181.97 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Where Minnesota sits
The same service costs 64.6 times more in Wisconsin than in Montana. 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· 40th of 51
$537
WI $5,129MT $79.43
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.