How much rates vary
Facilitymedian $155 · 10th to 90th $41 to $1,096Professionalmedian $112 · 10th to 90th $56 to $214
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 $40.74 Median $66.07 Typical High $66.07 | Facility | None | $40.74 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $66.07 | Professional | None | $40.74 | $58.88 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $10,232.93 | Facility | None | $398.11 | $1,071.52 | $10,232.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $194.98 | Professional | None | $66.07 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $323.59 | Facility | None | $109.65 | $169.82 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $131.83 Typical High $234.42 | Professional | None | $67.61 | $131.83 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $269.15 | Facility | None | $95.50 | $154.88 | $269.15 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $223.87 | Professional | None | $67.61 | $120.23 | $223.87 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $177.83 Typical High $1,148.15 | Facility | None | $70.79 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $588.84 | Professional | None | $69.18 | $162.18 | $588.84 |
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 $48.98 Median $93.33 Typical High $194.98 | Professional | None | $48.98 | $93.33 | $194.98 |
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 $20.42 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $20.42 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $8.13 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.20 Median $50.12 Typical High $50.12 | Facility | 54 · Surgery only | $30.20 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $10.00 Typical High $10.00 | Facility | 55 · Aftercare only | $6.03 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.61 Typical High $6.61 | Facility | 56 · Pre-op care only | $4.07 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $8.13 | $12.30 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $46.77 Typical High $50.12 | Professional | 54 · Surgery only | $30.20 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $10.00 | Professional | 55 · Aftercare only | $6.03 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.17 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.07 | $6.17 | $6.61 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 4th of 51
$115
AK $178FL $51.29
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.