How much rates vary
Facilitymedian $229 · 10th to 90th $69 to $912Professionalmedian $186 · 10th to 90th $95 to $347
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 $69.18 Median $104.71 Typical High $104.71 | Facility | None | $69.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $104.71 | Professional | None | $69.18 | $97.72 | $104.71 |
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 $120.23 Median $194.98 Typical High $309.03 | Professional | None | $120.23 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $512.86 | Facility | None | $169.82 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $218.78 Typical High $363.08 | Professional | None | $117.49 | $218.78 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $354.81 | Professional | None | $114.82 | $199.53 | $354.81 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $1,148.15 | Facility | None | $123.03 | $223.87 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $758.58 | Professional | None | $95.50 | $218.78 | $758.58 |
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 $74.13 Median $134.90 Typical High $309.03 | Professional | None | $74.13 | $134.90 | $309.03 |
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 $34.67 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $34.67 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $14.13 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $79.43 Typical High $79.43 | Facility | 54 · Surgery only | $52.48 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $10.47 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $7.08 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $72.44 Typical High $79.43 | Professional | 54 · Surgery only | $52.48 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.45 Typical High $15.85 | Professional | 55 · Aftercare only | $10.47 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $10.47 |
Where Minnesota sits
The same service costs 3.8 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· 4th of 51
$191
AK $282FL $74.13
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.