How much rates vary
Facilitymedian $1,445 · 10th to 90th $178 to $3,548Professionalmedian $794 · 10th to 90th $219 to $2,512
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 $177.83 Median $794.33 Typical High $3,548.13 | Facility | None | $177.83 | $794.33 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $616.60 Typical High $912.01 | Professional | None | $158.49 | $616.60 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $912.01 Median $2,630.27 Typical High $5,888.44 | Facility | None | $912.01 | $2,630.27 | $5,888.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $933.25 Typical High $1,905.46 | Professional | None | $263.03 | $933.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,071.52 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $660.69 Typical High $2,290.87 | Professional | None | $208.93 | $660.69 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,621.81 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $1,000.00 Typical High $2,290.87 | Professional | None | $295.12 | $1,000.00 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $3,090.30 | Facility | None | $295.12 | $1,258.93 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,630.27 Typical High $5,128.61 | Professional | None | $741.31 | $2,630.27 | $5,128.61 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $181.97 Median $691.83 Typical High $2,187.76 | Professional | None | $181.97 | $691.83 | $2,187.76 |
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 $89.13 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $89.13 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $35.48 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $588.84 Typical High $588.84 | Facility | 54 · Surgery only | $134.90 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $26.92 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $17.78 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $323.59 Typical High $457.09 | Professional | 52 · Reduced service | $89.13 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $128.82 Typical High $181.97 | Professional | 53 · Discontinued | $35.48 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $478.63 Typical High $676.08 | Professional | 54 · Surgery only | $134.90 | $478.63 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $95.50 Typical High $134.90 | Professional | 55 · Aftercare only | $26.92 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $66.07 Typical High $91.20 | Professional | 56 · Pre-op care only | $17.78 | $66.07 | $91.20 |
Where Minnesota sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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
$832
WI $1,148HI $219
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.