How much rates vary
Facilitymedian $537 · 10th to 90th $115 to $2,692Professionalmedian $380 · 10th to 90th $178 to $759
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 $114.82 Median $263.03 Typical High $263.03 | Facility | None | $114.82 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $263.03 | Professional | None | $114.82 | $263.03 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $489.78 Median $2,570.40 Typical High $5,888.44 | Facility | None | $489.78 | $2,570.40 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $416.87 Typical High $691.83 | Professional | None | $177.83 | $416.87 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $436.52 Typical High $954.99 | Professional | None | $223.87 | $436.52 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $933.25 | Facility | None | $338.84 | $537.03 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $776.25 | Professional | None | $204.17 | $398.11 | $776.25 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $645.65 Typical High $2,884.03 | Facility | None | $190.55 | $645.65 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $1,023.29 | Professional | None | $275.42 | $512.86 | $1,023.29 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $154.88 Median $354.81 Typical High $870.96 | Professional | None | $154.88 | $354.81 | $870.96 |
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 $57.54 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $57.54 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $22.91 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $85.11 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $38.90 Typical High $38.90 | Facility | 55 · Aftercare only | $16.98 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $11.48 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $57.54 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $52.48 | Professional | 53 · Discontinued | $22.91 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $186.21 Typical High $194.98 | Professional | 54 · Surgery only | $85.11 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $16.98 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $11.48 | $25.12 | $26.30 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$407
AK $776KY $182
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.