How much rates vary
Facilitymedian $513 · 10th to 90th $174 to $1,259Professionalmedian $501 · 10th to 90th $251 to $1,000
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 $173.78 Median $316.23 Typical High $316.23 | Facility | None | $173.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $316.23 | Professional | None | $173.78 | $275.42 | $316.23 |
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 $295.12 Median $562.34 Typical High $891.25 | Professional | None | $295.12 | $562.34 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $575.44 Typical High $1,096.48 | Professional | None | $295.12 | $575.44 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $1,047.13 | Professional | None | $288.40 | $524.81 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,148.15 | Facility | None | $125.89 | $380.19 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $645.65 Typical High $2,238.72 | Professional | None | $288.40 | $645.65 | $2,238.72 |
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 $190.55 Median $380.19 Typical High $912.01 | Professional | None | $190.55 | $380.19 | $912.01 |
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 $87.10 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $87.10 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $34.67 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $128.82 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.30 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $26.30 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.38 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $17.38 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $87.10 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $34.67 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $204.17 Typical High $234.42 | Professional | 54 · Surgery only | $128.82 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $40.74 Typical High $46.77 | Professional | 55 · Aftercare only | $26.30 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $27.54 Typical High $31.62 | Professional | 56 · Pre-op care only | $17.38 | $27.54 | $31.62 |
Where Minnesota sits
The same service costs 4.0 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· 3rd of 51
$501
AK $724MD $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.