How much rates vary
Facilitymedian $182 · 10th to 90th $59 to $676Professionalmedian $155 · 10th to 90th $81 to $295
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 $58.88 Median $97.72 Typical High $97.72 | Facility | None | $58.88 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $97.72 Typical High $102.33 | Professional | None | $58.88 | $97.72 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $616.60 | Facility | None | $229.09 | $323.59 | $616.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $269.15 | Professional | None | $81.28 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $426.58 | Facility | None | $144.54 | $223.87 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $363.08 | Professional | None | $114.82 | $194.98 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $354.81 | Facility | None | $128.82 | $204.17 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $346.74 | Professional | None | $104.71 | $177.83 | $346.74 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $1,148.15 | Facility | None | $97.72 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $363.08 | Professional | None | $112.20 | $177.83 | $363.08 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $295.12 | Professional | None | $74.13 | $151.36 | $295.12 |
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 $29.51 Median $48.98 Typical High $48.98 | Facility | 52 · Reduced service | $29.51 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $11.75 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $43.65 Median $74.13 Typical High $74.13 | Facility | 54 · Surgery only | $43.65 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.71 Median $14.79 Typical High $14.79 | Facility | 55 · Aftercare only | $8.71 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.77 Typical High $9.77 | Facility | 56 · Pre-op care only | $5.89 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $29.51 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $11.75 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $74.13 Typical High $74.13 | Professional | 54 · Surgery only | $43.65 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $8.71 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.89 | $9.77 | $9.77 |
Where Minnesota sits
The same service costs 3.7 times more in Wisconsin 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· 4th of 51
$155
WI $282FL $75.86
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.