How much rates vary
Facilitymedian $1,023 · 10th to 90th $437 to $4,786Professionalmedian $891 · 10th to 90th $562 to $1,622
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $660.69 | Professional | None | $436.52 | $436.52 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $16,218.10 Typical High $37,153.52 | Facility | None | $2,454.71 | $16,218.10 | $37,153.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,479.11 | Professional | None | $630.96 | $870.96 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,905.46 | Facility | None | $645.65 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,737.80 | Professional | None | $741.31 | $1,096.48 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | None | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,584.89 | Professional | None | $645.65 | $954.99 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $3,019.95 | Facility | None | $676.08 | $1,174.90 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,737.80 | Professional | None | $537.03 | $851.14 | $1,737.80 |
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 $489.78 Median $851.14 Typical High $1,778.28 | Professional | None | $489.78 | $851.14 | $1,778.28 |
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 $218.78 Median $218.78 Typical High $218.78 | Facility | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 56 · Pre-op care only | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | 52 · Reduced service | $218.78 | $218.78 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | 53 · Discontinued | $89.13 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $58.88 |
Where Minnesota sits
The same service costs 4.5 times more in Wisconsin than in Kentucky. 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· 7th of 51
$912
WI $1,778KY $398
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.