How much rates vary
Facilitymedian $295 · 10th to 90th $129 to $1,230Professionalmedian $240 · 10th to 90th $129 to $457
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None | $128.82 | $128.82 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $1,698.24 | Facility | None | $575.44 | $977.24 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $389.05 | Professional | None | $186.21 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $549.54 | Facility | None | $186.21 | $288.40 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $457.09 | Professional | None | $173.78 | $269.15 | $457.09 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $467.74 | Facility | None | $165.96 | $269.15 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $416.87 | Professional | None | $186.21 | $251.19 | $416.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,445.44 | Facility | None | $125.89 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $1,737.80 | Professional | None | $138.04 | $288.40 | $1,737.80 |
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 $131.83 Median $218.78 Typical High $457.09 | Professional | None | $131.83 | $218.78 | $457.09 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | 54 · Surgery only | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $15.85 |
Where Minnesota sits
The same service costs 5.1 times more in Alaska than in Utah. 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
$240
AK $501UT $97.72
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.