How much rates vary
Facilitymedian $676 · 10th to 90th $302 to $2,951Professionalmedian $575 · 10th to 90th $380 to $1,413
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | None | $380.19 | $380.19 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $616.60 Median $10,232.93 Typical High $26,915.35 | Facility | None | $616.60 | $10,232.93 | $26,915.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | None | $398.11 | $446.68 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,778.28 | Facility | None | $602.56 | $933.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $1,513.56 | Professional | None | $575.44 | $977.24 | $1,513.56 |
Health Partners Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,479.11 | Facility | None | $537.03 | $851.14 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,445.44 | Professional | None | $512.86 | $891.25 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,445.44 | Facility | None | $125.89 | $398.11 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $3,981.07 | Professional | None | $416.87 | $758.58 | $3,981.07 |
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 $398.11 Median $691.83 Typical High $1,412.54 | Professional | None | $398.11 | $691.83 | $1,412.54 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 52 · Reduced service | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 53 · Discontinued | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 54 · Surgery only | $288.40 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.90 |
Where Minnesota sits
The same service costs 4.6 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· 16th of 51
$603
AK $1,585FL $347
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.