How much rates vary
Facilitymedian $457 · 10th to 90th $132 to $6,607Professionalmedian $245 · 10th to 90th $148 to $468
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $5,128.61 Typical High $12,022.64 | Facility | None | $660.69 | $5,128.61 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $398.11 | Professional | None | $169.82 | $234.42 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $575.44 | Facility | None | $190.55 | $295.12 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $512.86 | Professional | None | $223.87 | $331.13 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $478.63 | Facility | None | $169.82 | $275.42 | $478.63 |
Health Partners Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $478.63 | Professional | None | $194.98 | $288.40 | $478.63 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $2,754.23 Typical High $7,585.78 | Facility | None | $204.17 | $2,754.23 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $489.78 | Professional | None | $144.54 | $234.42 | $489.78 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $478.63 | Professional | None | $131.83 | $229.09 | $478.63 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 54 · Surgery only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | 54 · Surgery only | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $15.85 |
Where Minnesota sits
The same service costs 12.9 times more in Arkansas 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· 19th of 51
$275
AR $1,585NY $123
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.