How much rates vary
Facilitymedian $2,089 · 10th to 90th $347 to $6,457Professionalmedian $2,138 · 10th to 90th $447 to $6,761
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 $346.74 Median $2,089.30 Typical High $2,089.30 | Facility | None | $346.74 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,905.46 Typical High $2,570.40 | Professional | None | $346.74 | $1,905.46 | $2,570.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,801.89 | Facility | None | $1,412.54 | $1,995.26 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $2,187.76 Typical High $5,011.87 | Professional | None | $549.54 | $2,187.76 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $6,456.54 Typical High $18,197.01 | Facility | None | $4,265.80 | $6,456.54 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,737.80 Typical High $6,165.95 | Professional | None | $436.52 | $1,737.80 | $6,165.95 |
Health Partners Setting Facility Modifier None Typical Low $3,630.78 Median $6,025.60 Typical High $14,125.38 | Facility | None | $3,630.78 | $6,025.60 | $14,125.38 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $2,089.30 Typical High $6,025.60 | Professional | None | $575.44 | $2,089.30 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,949.84 Typical High $3,467.37 | Facility | None | $467.74 | $1,949.84 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $6,760.83 Typical High $13,182.57 | Professional | None | $2,238.72 | $6,760.83 | $13,182.57 |
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 $389.05 Median $1,548.82 Typical High $5,888.44 | Professional | None | $389.05 | $1,548.82 | $5,888.44 |
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 $173.78 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $173.78 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $69.18 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $1,584.89 Typical High $1,584.89 | Facility | 54 · Surgery only | $263.03 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $52.48 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $34.67 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $954.99 Typical High $1,202.26 | Professional | 52 · Reduced service | $173.78 | $954.99 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $69.18 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $1,445.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $263.03 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $288.40 Typical High $363.08 | Professional | 55 · Aftercare only | $52.48 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $190.55 Typical High $239.88 | Professional | 56 · Pre-op care only | $34.67 | $190.55 | $239.88 |
Where Minnesota sits
The same service costs 5.5 times more in Washington 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· 6th of 51
$2,089
WA $2,818KY $513
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.