How much rates vary
Facilitymedian $1,585 · 10th to 90th $479 to $13,804Professionalmedian $1,000 · 10th to 90th $550 to $1,862
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,709.64 Median $19,498.45 Typical High $39,810.72 | Facility | None | $8,709.64 | $19,498.45 | $39,810.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,659.59 | Professional | None | $758.58 | $1,000.00 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $2,137.96 | Facility | None | $724.44 | $1,122.02 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,995.26 | Professional | None | $812.83 | $1,288.25 | $1,995.26 |
Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,778.28 | Facility | None | $630.96 | $1,023.29 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,778.28 | Professional | None | $724.44 | $1,148.15 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $3,388.44 Typical High $7,943.28 | Facility | None | $758.58 | $3,388.44 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,047.13 Typical High $3,388.44 | Professional | None | $549.54 | $1,047.13 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,995.26 | Professional | None | $537.03 | $933.25 | $1,995.26 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $57.54 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska 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· 10th of 51
$1,023
AK $1,905NY $490
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.