How much rates vary
Facilitymedian $148 · 10th to 90th $55 to $1,148Professionalmedian $93 · 10th to 90th $55 to $186
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | None | $54.95 | $54.95 | $67.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $724.44 Typical High $1,659.59 | Facility | None | $275.42 | $724.44 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $151.36 | Professional | None | $69.18 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $239.88 | Facility | None | $81.28 | $125.89 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $199.53 | Professional | None | $72.44 | $114.82 | $199.53 |
Health Partners Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $199.53 | Facility | None | $70.79 | $114.82 | $199.53 |
Health Partners Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $181.97 | Professional | None | $81.28 | $109.65 | $181.97 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $323.59 Typical High $1,445.44 | Facility | None | $85.11 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $478.63 | Professional | None | $58.88 | $120.23 | $478.63 |
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 $52.48 Median $93.33 Typical High $181.97 | Professional | None | $52.48 | $93.33 | $181.97 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 54 · Surgery only | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 54 · Surgery only | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $6.61 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$97.72
AK $200FL $47.86
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.