How much rates vary
Facilitymedian $126 · 10th to 90th $49 to $631Professionalmedian $100 · 10th to 90th $60 to $178
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | None | $48.98 | $48.98 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $109.65 Median $223.87 Typical High $489.78 | Facility | None | $109.65 | $223.87 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $162.18 | Professional | None | $77.62 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $208.93 | Facility | None | $70.79 | $109.65 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $190.55 | Professional | None | $81.28 | $123.03 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $173.78 | Facility | None | $63.10 | $100.00 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $173.78 | Professional | None | $70.79 | $107.15 | $173.78 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $309.03 Typical High $1,288.25 | Facility | None | $75.86 | $309.03 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $190.55 | Professional | None | $63.10 | $100.00 | $190.55 |
United Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,778.28 | Facility | None | $125.89 | $380.19 | $1,778.28 |
United Setting Professional Modifier None Typical Low $56.23 Median $102.33 Typical High $194.98 | Professional | None | $56.23 | $102.33 | $194.98 |
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 $24.55 Median $24.55 Typical High $24.55 | Facility | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 54 · Surgery only | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 56 · Pre-op care only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 54 · Surgery only | $36.31 | $36.31 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.89 |
Where Minnesota sits
The same service costs 6.5 times more in Tennessee 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· 11th of 51
$107
TN $316NY $48.98
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.