How much rates vary
Facilitymedian $525 · 10th to 90th $138 to $5,248Professionalmedian $389 · 10th to 90th $195 to $741
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 $138.04 Median $239.88 Typical High $239.88 | Facility | None | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $239.88 | Professional | None | $138.04 | $208.93 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $302.00 Median $5,888.44 Typical High $13,803.84 | Facility | None | $302.00 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $660.69 | Professional | None | $204.17 | $389.05 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | None | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $912.01 | Professional | None | $281.84 | $489.78 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $891.25 | Facility | None | $316.23 | $512.86 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $446.68 Typical High $870.96 | Professional | None | $245.47 | $446.68 | $870.96 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $1,659.59 Typical High $4,786.30 | Facility | None | $239.88 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $1,819.70 | Professional | None | $245.47 | $549.54 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $741.31 | Professional | None | $169.82 | $363.08 | $741.31 |
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 $69.18 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $69.18 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $27.54 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $104.71 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $104.71 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.89 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $20.89 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $23.99 Typical High $23.99 | Facility | 56 · Pre-op care only | $13.80 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $69.18 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $27.54 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $104.71 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $31.62 Typical High $35.48 | Professional | 55 · Aftercare only | $20.89 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $13.80 | $20.89 | $23.99 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 5th of 51
$389
AK $708KY $191
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.