How much rates vary
Facilitymedian $66 · 10th to 90th $12 to $347Professionalmedian $39 · 10th to 90th $14 to $98
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 $10.00 Median $36.31 Typical High $112.20 | Facility | None | $10.00 | $36.31 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $36.31 | Professional | None | $10.00 | $22.39 | $36.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.46 Median $28.18 Typical High $44.67 | Facility | None | $6.46 | $28.18 | $44.67 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.45 Median $47.86 Typical High $91.20 | Professional | None | $14.45 | $47.86 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $158.49 | Facility | None | $52.48 | $81.28 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $53.70 Typical High $134.90 | Professional | None | $19.95 | $53.70 | $134.90 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $131.83 | Facility | None | $46.77 | $75.86 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $18.20 Median $47.86 Typical High $109.65 | Professional | None | $18.20 | $47.86 | $109.65 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $97.72 Typical High $831.76 | Facility | None | $15.49 | $97.72 | $831.76 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $120.23 | Professional | None | $33.11 | $58.88 | $120.23 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $12.88 Median $33.88 Typical High $97.72 | Professional | None | $12.88 | $33.88 | $97.72 |
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 $5.01 Median $18.20 Typical High $18.20 | Facility | 52 · Reduced service | $5.01 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $7.24 Typical High $7.24 | Facility | 53 · Discontinued | $2.00 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $7.59 Median $26.92 Typical High $26.92 | Facility | 54 · Surgery only | $7.59 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.51 Median $5.50 Typical High $5.50 | Facility | 55 · Aftercare only | $1.51 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.00 Median $3.63 Typical High $3.63 | Facility | 56 · Pre-op care only | $1.00 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $15.49 Typical High $18.20 | Professional | 52 · Reduced service | $5.01 | $15.49 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $6.17 Typical High $7.24 | Professional | 53 · Discontinued | $2.00 | $6.17 | $7.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.59 Median $22.91 Typical High $26.92 | Professional | 54 · Surgery only | $7.59 | $22.91 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $4.68 Typical High $5.50 | Professional | 55 · Aftercare only | $1.51 | $4.68 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $3.09 Typical High $3.63 | Professional | 56 · Pre-op care only | $1.00 | $3.09 | $3.63 |
Where Minnesota sits
The same service costs 4.2 times more in Wisconsin than in Nebraska. 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
$44.67
WI $67.61NE $16.22
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.