How much rates vary
Facilitymedian $288 · 10th to 90th $115 to $2,344Professionalmedian $178 · 10th to 90th $72 to $437
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 $114.82 Median $114.82 Typical High $1,258.93 | Facility | None | $114.82 | $114.82 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | None | $114.82 | $114.82 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $6,165.95 | Facility | None | $1,819.70 | $3,311.31 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | None | $64.57 | $72.44 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $549.54 | Facility | None | $186.21 | $288.40 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $478.63 | Professional | None | $177.83 | $302.00 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $467.74 | Facility | None | $165.96 | $269.15 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $446.68 | Professional | None | $158.49 | $281.84 | $446.68 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $2,818.38 | Facility | None | $128.82 | $371.54 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $1,621.81 | Professional | None | $128.82 | $239.88 | $1,621.81 |
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 $120.23 Median $213.80 Typical High $426.58 | Professional | None | $120.23 | $213.80 | $426.58 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 54 · Surgery only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $17.78 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.75 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in Delaware. 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· 13th of 51
$195
AK $468DE $117
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.