How much rates vary
Facilitymedian $309 · 10th to 90th $95 to $1,698Professionalmedian $245 · 10th to 90th $138 to $457
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 $95.50 Median $138.04 Typical High $138.04 | Facility | None | $95.50 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $138.04 | Professional | None | $95.50 | $134.90 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $213.80 Median $1,023.29 Typical High $2,344.23 | Facility | None | $213.80 | $1,023.29 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $398.11 | Professional | None | $147.91 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $616.60 | Facility | None | $208.93 | $323.59 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $549.54 | Professional | None | $194.98 | $316.23 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $524.81 | Facility | None | $186.21 | $302.00 | $524.81 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $501.19 | Professional | None | $173.78 | $288.40 | $501.19 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $645.65 Typical High $2,089.30 | Facility | None | $154.88 | $645.65 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $724.44 | Professional | None | $162.18 | $331.13 | $724.44 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $446.68 | Professional | None | $120.23 | $234.42 | $446.68 |
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 $47.86 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $47.86 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $104.71 Typical High $104.71 | Facility | 54 · Surgery only | $72.44 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $20.89 Typical High $20.89 | Facility | 55 · Aftercare only | $14.45 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $9.55 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $100.00 Typical High $104.71 | Professional | 54 · Surgery only | $72.44 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.95 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $13.80 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Indiana. 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
$257
AK $447IN $126
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.