How much rates vary
Facilitymedian $1,413 · 10th to 90th $269 to $9,772Professionalmedian $1,549 · 10th to 90th $363 to $4,786
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 $269.15 Median $1,412.54 Typical High $1,412.54 | Facility | None | $269.15 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $1,348.96 Typical High $1,819.70 | Professional | None | $269.15 | $1,348.96 | $1,819.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $12,022.64 | Facility | None | $1,513.56 | $5,248.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $1,513.56 Typical High $3,388.44 | Professional | None | $407.38 | $1,513.56 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $12,302.69 | Facility | None | $2,691.53 | $4,168.69 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,202.26 Typical High $4,168.69 | Professional | None | $363.08 | $1,202.26 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $9,772.37 | Facility | None | $2,454.71 | $4,073.80 | $9,772.37 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $1,621.81 Typical High $4,168.69 | Professional | None | $446.68 | $1,621.81 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $2,511.89 Typical High $9,332.54 | Facility | None | $407.38 | $2,511.89 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $4,786.30 Typical High $9,332.54 | Professional | None | $1,737.80 | $4,786.30 | $9,332.54 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $10,715.19 | Facility | None | $4,265.80 | $7,244.36 | $10,715.19 |
United Setting Professional Modifier None Typical Low $309.03 Median $1,202.26 Typical High $4,365.16 | Professional | None | $309.03 | $1,202.26 | $4,365.16 |
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 $131.83 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $131.83 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $53.70 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $1,071.52 Typical High $1,071.52 | Facility | 54 · Surgery only | $199.53 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $213.80 Typical High $213.80 | Facility | 55 · Aftercare only | $39.81 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $26.92 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $676.08 Typical High $812.83 | Professional | 52 · Reduced service | $131.83 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $269.15 Typical High $323.59 | Professional | 53 · Discontinued | $53.70 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $1,000.00 Typical High $1,230.27 | Professional | 54 · Surgery only | $199.53 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $199.53 Typical High $245.47 | Professional | 55 · Aftercare only | $39.81 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $134.90 Typical High $162.18 | Professional | 56 · Pre-op care only | $26.92 | $134.90 | $162.18 |
Where Minnesota sits
The same service costs 4.7 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· 9th of 51
$1,549
WI $2,089NE $447
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.