How much rates vary
Facilitymedian $126 · 10th to 90th $43 to $1,148Professionalmedian $83 · 10th to 90th $50 to $155
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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | None | $42.66 | $42.66 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $660.69 Typical High $1,513.56 | Facility | None | $95.50 | $660.69 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $134.90 | Professional | None | $56.23 | $75.86 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $181.97 | Facility | None | $61.66 | $95.50 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $165.96 | Professional | None | $72.44 | $107.15 | $165.96 |
Health Partners Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $154.88 | Facility | None | $54.95 | $89.13 | $154.88 |
Health Partners Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $151.36 | Professional | None | $61.66 | $93.33 | $151.36 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $323.59 Typical High $1,445.44 | Facility | None | $66.07 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $165.96 | Professional | None | $51.29 | $81.28 | $165.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $162.18 | Professional | None | $44.67 | $79.43 | $162.18 |
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 $21.38 Median $21.38 Typical High $21.38 | Facility | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 54 · Surgery only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | 54 · Surgery only | $31.62 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $5.13 |
Where Minnesota sits
The same service costs 9.3 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· 13th of 51
$89.13
TN $398NY $42.66
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.