How much rates vary
Facilitymedian $331 · 10th to 90th $52 to $891Professionalmedian $93 · 10th to 90th $51 to $178
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 $36.31 Median $549.54 Typical High $891.25 | Facility | None | $36.31 | $549.54 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $64.57 | Professional | None | $36.31 | $52.48 | $64.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $1,318.26 | Facility | None | $389.05 | $724.44 | $1,318.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $154.88 | Professional | None | $61.66 | $93.33 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $257.04 | Facility | None | $89.13 | $134.90 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $190.55 | Professional | None | $60.26 | $114.82 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $218.78 | Facility | None | $77.62 | $125.89 | $218.78 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $177.83 | Professional | None | $58.88 | $102.33 | $177.83 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $302.00 Typical High $1,230.27 | Facility | None | $72.44 | $302.00 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $616.60 | Professional | None | $60.26 | $131.83 | $616.60 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $177.83 | Professional | None | $43.65 | $85.11 | $177.83 |
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 $18.20 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $18.20 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $10.47 Typical High $10.47 | Facility | 53 · Discontinued | $7.24 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $26.92 Median $39.81 Typical High $39.81 | Facility | 54 · Surgery only | $26.92 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $7.94 Typical High $7.94 | Facility | 55 · Aftercare only | $5.37 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.25 Typical High $5.25 | Facility | 56 · Pre-op care only | $3.63 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $25.70 Typical High $26.30 | Professional | 52 · Reduced service | $18.20 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $10.23 Typical High $10.47 | Professional | 53 · Discontinued | $7.24 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $38.90 Typical High $39.81 | Professional | 54 · Surgery only | $26.92 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.76 Typical High $7.94 | Professional | 55 · Aftercare only | $5.37 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.13 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.63 | $5.13 | $5.25 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska 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· 3rd of 51
$100
AK $186NY $44.67
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.