How much rates vary
Facilitymedian $1,995 · 10th to 90th $513 to $7,079Professionalmedian $724 · 10th to 90th $513 to $1,905
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | None | $512.86 | $512.86 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $5,754.40 Typical High $13,803.84 | Facility | None | $2,570.40 | $5,754.40 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $724.44 | Professional | None | $575.44 | $645.65 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,454.71 | Professional | None | $933.25 | $1,412.54 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,238.72 | Professional | None | $933.25 | $1,318.26 | $2,238.72 |
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Where Minnesota sits
The same service costs 74.1 times more in Oklahoma 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· 30th of 51
$1,023
OK $5,888MT $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.