How much rates vary
Facilitymedian $269 · 10th to 90th $83 to $1,738Professionalmedian $166 · 10th to 90th $95 to $324
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None | $83.18 | $83.18 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $426.58 Median $741.31 Typical High $1,479.11 | Facility | None | $426.58 | $741.31 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $269.15 | Professional | None | $120.23 | $162.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $371.54 | Facility | None | $125.89 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $354.81 | Professional | None | $144.54 | $223.87 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $316.23 | Facility | None | $112.20 | $181.97 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $309.03 | Professional | None | $125.89 | $204.17 | $309.03 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $1,000.00 Typical High $3,019.95 | Facility | None | $138.04 | $1,000.00 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $616.60 | Professional | None | $95.50 | $173.78 | $616.60 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $331.13 | Professional | None | $89.13 | $154.88 | $331.13 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 54 · Surgery only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 54 · Surgery only | $63.10 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $10.00 |
Where Minnesota sits
The same service costs 6.5 times more in Tennessee than in New York. 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· 8th of 51
$178
TN $513NY $79.43
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.