How much rates vary
Facilitymedian $3,090 · 10th to 90th $107 to $10,471Professionalmedian $1,549 · 10th to 90th $141 to $4,571
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 $107.15 Median $1,548.82 Typical High $10,471.29 | Facility | None | $107.15 | $1,548.82 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $1,548.82 Typical High $1,698.24 | Professional | None | $107.15 | $1,548.82 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $562.34 Median $7,413.10 Typical High $17,782.79 | Facility | None | $562.34 | $7,413.10 | $17,782.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $141.25 Median $707.95 Typical High $3,801.89 | Professional | None | $141.25 | $707.95 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $6,760.83 | Facility | None | $2,137.96 | $3,467.37 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $660.69 Typical High $5,495.41 | Professional | None | $199.53 | $660.69 | $5,495.41 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $1,380.38 Typical High $4,570.88 | Professional | None | $165.96 | $1,380.38 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $2,951.21 Typical High $8,709.64 | Facility | None | $177.83 | $2,951.21 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,890.45 Typical High $8,317.64 | Professional | None | $1,905.46 | $3,890.45 | $8,317.64 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $10,964.78 | Facility | None | $2,818.38 | $4,265.80 | $10,964.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $794.33 Typical High $6,760.83 | Professional | None | $144.54 | $794.33 | $6,760.83 |
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 $53.70 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $53.70 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $309.03 Typical High $309.03 | Facility | 53 · Discontinued | $21.38 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $1,174.90 Typical High $1,174.90 | Facility | 54 · Surgery only | $81.28 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $234.42 Typical High $234.42 | Facility | 55 · Aftercare only | $16.22 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $10.72 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $776.25 Typical High $851.14 | Professional | 52 · Reduced service | $53.70 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $309.03 Typical High $338.84 | Professional | 53 · Discontinued | $21.38 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $1,174.90 Typical High $1,258.93 | Professional | 54 · Surgery only | $81.28 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $234.42 Typical High $251.19 | Professional | 55 · Aftercare only | $16.22 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $154.88 Typical High $169.82 | Professional | 56 · Pre-op care only | $10.72 | $154.88 | $169.82 |
Where Minnesota sits
The same service costs 19.1 times more in Alaska than in Nebraska. 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· 10th of 51
$2,042
AK $3,388NE $178
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.