How much rates vary
Facilitymedian $525 · 10th to 90th $186 to $1,349Professionalmedian $537 · 10th to 90th $275 to $1,072
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 $186.21 Median $338.84 Typical High $338.84 | Facility | None | $186.21 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $338.84 | Professional | None | $186.21 | $295.12 | $338.84 |
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 $323.59 Median $602.56 Typical High $977.24 | Professional | None | $323.59 | $602.56 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,659.59 | Facility | None | $549.54 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $1,202.26 | Professional | None | $316.23 | $630.96 | $1,202.26 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,380.38 | Facility | None | $489.78 | $794.33 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $575.44 Typical High $1,122.02 | Professional | None | $309.03 | $575.44 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,148.15 | Facility | None | $125.89 | $398.11 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $707.95 Typical High $2,398.83 | Professional | None | $316.23 | $707.95 | $2,398.83 |
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 $213.80 Median $416.87 Typical High $977.24 | Professional | None | $213.80 | $416.87 | $977.24 |
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 $93.33 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $93.33 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $38.02 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $141.25 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $28.18 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $18.62 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $93.33 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $38.02 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $223.87 Typical High $251.19 | Professional | 54 · Surgery only | $141.25 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $44.67 Typical High $50.12 | Professional | 55 · Aftercare only | $28.18 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $29.51 Typical High $33.88 | Professional | 56 · Pre-op care only | $18.62 | $29.51 | $33.88 |
Where Minnesota sits
The same service costs 3.8 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
$537
AK $759MD $200
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.