How much rates vary
Facilitymedian $479 · 10th to 90th $191 to $1,738Professionalmedian $380 · 10th to 90th $234 to $692
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $1,905.46 | Facility | None | $363.08 | $758.58 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $616.60 | Professional | None | $288.40 | $380.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $812.83 | Facility | None | $275.42 | $426.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $741.31 | Professional | None | $323.59 | $467.74 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $676.08 | Facility | None | $245.47 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $676.08 | Professional | None | $275.42 | $416.87 | $676.08 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,148.15 Typical High $3,019.95 | Facility | None | $288.40 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $741.31 | Professional | None | $239.88 | $371.54 | $741.31 |
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 $213.80 Median $371.54 Typical High $758.58 | Professional | None | $213.80 | $371.54 | $758.58 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 54 · Surgery only | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $22.91 |
Where Minnesota sits
The same service costs 4.3 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· 13th of 51
$389
WI $851NY $200
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.