How much rates vary
Facilitymedian $501 · 10th to 90th $162 to $1,202Professionalmedian $457 · 10th to 90th $234 to $933
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 $162.18 Median $295.12 Typical High $295.12 | Facility | None | $162.18 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $295.12 | Professional | None | $162.18 | $263.03 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $1,862.09 | Facility | None | $354.81 | $776.25 | $1,862.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $831.76 | Professional | None | $275.42 | $512.86 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,445.44 | Facility | None | $478.63 | $741.31 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,047.13 | Professional | None | $269.15 | $537.03 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,202.26 | Facility | None | $426.58 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $977.24 | Professional | None | $263.03 | $489.78 | $977.24 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $1,148.15 | Facility | None | $125.89 | $363.08 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $602.56 Typical High $2,089.30 | Professional | None | $281.84 | $602.56 | $2,089.30 |
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 $181.97 Median $354.81 Typical High $851.14 | Professional | None | $181.97 | $354.81 | $851.14 |
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 $79.43 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $79.43 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $32.36 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $120.23 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $120.23 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $23.99 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.22 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $16.22 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $79.43 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $32.36 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $120.23 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $23.99 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $16.22 | $25.70 | $29.51 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$468
AK $661MD $182
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.