How much rates vary
Facilitymedian $13 · 10th to 90th $2 to $501Professionalmedian $10 · 10th to 90th $3 to $22
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 $2.04 Median $6.92 Typical High $9.55 | Facility | None | $2.04 | $6.92 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $6.17 Typical High $10.23 | Professional | None | $2.04 | $6.17 | $10.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.48 Median $6.03 Typical High $9.55 | Facility | None | $1.48 | $6.03 | $9.55 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.02 Median $9.55 Typical High $18.20 | Professional | None | $3.02 | $9.55 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $33.11 | Facility | None | $10.72 | $17.38 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $10.47 Typical High $23.99 | Professional | None | $3.55 | $10.47 | $23.99 |
Health Partners Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $28.18 | Facility | None | $10.00 | $16.22 | $28.18 |
Health Partners Setting Professional Modifier None Typical Low $3.39 Median $10.96 Typical High $22.39 | Professional | None | $3.39 | $10.96 | $22.39 |
Medica Setting Facility Modifier None Typical Low $4.37 Median $177.83 Typical High $1,000.00 | Facility | None | $4.37 | $177.83 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $67.61 | Professional | None | $8.51 | $13.80 | $67.61 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $2.82 Median $7.24 Typical High $18.62 | Professional | None | $2.82 | $7.24 | $18.62 |
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 $1.02 Median $3.47 Typical High $3.47 | Facility | 52 · Reduced service | $1.02 | $3.47 | $3.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.41 Median $1.38 Typical High $1.38 | Facility | 53 · Discontinued | $0.41 | $1.38 | $1.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1.51 Median $5.13 Typical High $5.13 | Facility | 54 · Surgery only | $1.51 | $5.13 | $5.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.31 Median $1.02 Typical High $1.02 | Facility | 55 · Aftercare only | $0.31 | $1.02 | $1.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.69 Typical High $0.69 | Facility | 56 · Pre-op care only | $0.20 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $2.88 Typical High $3.47 | Professional | 52 · Reduced service | $1.02 | $2.88 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $1.15 Typical High $1.38 | Professional | 53 · Discontinued | $0.41 | $1.15 | $1.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.51 Median $4.37 Typical High $5.13 | Professional | 54 · Surgery only | $1.51 | $4.37 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.87 Typical High $1.02 | Professional | 55 · Aftercare only | $0.31 | $0.87 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.58 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.20 | $0.58 | $0.69 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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
$10.00
AK $12.88NE $4.37
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.