How much rates vary
Facilitymedian $1,479 · 10th to 90th $759 to $5,495Professionalmedian $1,514 · 10th to 90th $933 to $2,818
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $16,218.10 Typical High $37,153.52 | Facility | None | $1,778.28 | $16,218.10 | $37,153.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,513.56 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,698.24 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,905.46 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,659.59 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,348.96 Typical High $3,019.95 | Facility | None | $758.58 | $1,348.96 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,951.21 | Professional | None | $912.01 | $1,445.44 | $2,951.21 |
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 $851.14 Median $1,445.44 Typical High $3,090.30 | Professional | None | $851.14 | $1,445.44 | $3,090.30 |
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 $380.19 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | 54 · Surgery only | $562.34 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $91.20 |
Where Minnesota sits
The same service costs 3.8 times more in Wisconsin 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· 6th of 51
$1,514
WI $2,951NY $776
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.