How much rates vary
Facilitymedian $631 · 10th to 90th $132 to $2,291Professionalmedian $646 · 10th to 90th $174 to $2,042
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 $131.83 Median $630.96 Typical High $630.96 | Facility | None | $131.83 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $562.34 Typical High $724.44 | Professional | None | $131.83 | $562.34 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,412.54 | Facility | None | $537.03 | $758.58 | $1,412.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $691.83 Typical High $1,513.56 | Professional | None | $194.98 | $691.83 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $5,370.32 | Facility | None | $1,174.90 | $1,862.09 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $1,819.70 | Professional | None | $169.82 | $537.03 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,819.70 | $4,265.80 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $794.33 Typical High $1,819.70 | Professional | None | $218.78 | $794.33 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $891.25 Typical High $2,398.83 | Facility | None | $186.21 | $891.25 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $2,041.74 Typical High $3,981.07 | Professional | None | $645.65 | $2,041.74 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $144.54 Median $537.03 Typical High $1,698.24 | Professional | None | $144.54 | $537.03 | $1,698.24 |
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 $66.07 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $66.07 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $26.30 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $97.72 Median $467.74 Typical High $467.74 | Facility | 54 · Surgery only | $97.72 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $19.50 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $13.18 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $275.42 Typical High $363.08 | Professional | 52 · Reduced service | $66.07 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $112.20 Typical High $144.54 | Professional | 53 · Discontinued | $26.30 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $416.87 Typical High $537.03 | Professional | 54 · Surgery only | $97.72 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $83.18 Typical High $107.15 | Professional | 55 · Aftercare only | $19.50 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $56.23 Typical High $72.44 | Professional | 56 · Pre-op care only | $13.18 | $56.23 | $72.44 |
Where Minnesota sits
The same service costs 4.0 times more in Wisconsin than in Maryland. 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
$631
WI $851MD $214
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.