How much rates vary
Facilitymedian $1,202 · 10th to 90th $347 to $34,674Professionalmedian $676 · 10th to 90th $407 to $1,288
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | None | $346.74 | $346.74 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,905.46 Median $46,773.51 Typical High $107,151.93 | Facility | None | $1,905.46 | $46,773.51 | $107,151.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,122.02 | Professional | None | $478.63 | $660.69 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,479.11 | Facility | None | $501.19 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,348.96 | Professional | None | $588.84 | $870.96 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,258.93 | Facility | None | $446.68 | $724.44 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,230.27 | Professional | None | $501.19 | $758.58 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $8,128.31 Typical High $22,387.21 | Facility | None | $537.03 | $8,128.31 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $1,318.26 | Professional | None | $407.38 | $660.69 | $1,318.26 |
United Setting Facility Modifier None Typical Low $6,760.83 Median $10,471.29 Typical High $28,840.32 | Facility | None | $6,760.83 | $10,471.29 | $28,840.32 |
United Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $1,348.96 | Professional | None | $380.19 | $660.69 | $1,348.96 |
8 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 $173.78 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 54 · Surgery only | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $63.10 |
Where Minnesota sits
The same service costs 45.0 times more in New Mexico than in Montana. 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.
Physician feeFacility fee
NM $44,130MT $980
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.