How much rates vary
Facilitymedian $200 · 10th to 90th $76 to $1,549Professionalmedian $112 · 10th to 90th $48 to $269
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $56.23 | Professional | None | $44.67 | $50.12 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $346.74 | Facility | None | $117.49 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $302.00 | Professional | None | $120.23 | $169.82 | $302.00 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $295.12 | Facility | None | $104.71 | $169.82 | $295.12 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $281.84 | Professional | None | $117.49 | $165.96 | $281.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,584.89 | Facility | None | $125.89 | $323.59 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $575.44 | Professional | None | $89.13 | $141.25 | $575.44 |
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 $87.10 Median $131.83 Typical High $269.15 | Professional | None | $87.10 | $131.83 | $269.15 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 54 · Surgery only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 54 · Surgery only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 5.5 times more in Arkansas than in Kentucky. 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· 16th of 51
$126
AR $331KY $60.26
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.