How much rates vary
Facilitymedian $3,467 · 10th to 90th $155 to $9,333Professionalmedian $1,905 · 10th to 90th $234 to $5,248
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 $154.88 Median $1,905.46 Typical High $1,905.46 | Facility | None | $154.88 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,778.28 Typical High $2,089.30 | Professional | None | $154.88 | $1,778.28 | $2,089.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $10,000.00 Typical High $18,197.01 | Facility | None | $5,370.32 | $10,000.00 | $18,197.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $239.88 Median $1,096.48 Typical High $4,786.30 | Professional | None | $239.88 | $1,096.48 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,265.80 Typical High $8,317.64 | Facility | None | $2,570.40 | $4,265.80 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $2,398.83 Typical High $7,079.46 | Professional | None | $302.00 | $2,398.83 | $7,079.46 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,918.31 | Facility | None | $2,454.71 | $3,981.07 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $2,344.23 Typical High $5,754.40 | Professional | None | $288.40 | $2,344.23 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $3,630.78 Typical High $9,332.54 | Facility | None | $257.04 | $3,630.78 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $6,309.57 | Professional | None | $2,344.23 | $3,801.89 | $6,309.57 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,248.07 | $10,964.78 |
United Setting Professional Modifier None Typical Low $218.78 Median $1,000.00 Typical High $5,248.07 | Professional | None | $218.78 | $1,000.00 | $5,248.07 |
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 $77.62 Median $954.99 Typical High $954.99 | Facility | 52 · Reduced service | $77.62 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $380.19 Typical High $380.19 | Facility | 53 · Discontinued | $30.90 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $1,445.44 Typical High $1,445.44 | Facility | 54 · Surgery only | $117.49 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $23.44 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $190.55 Typical High $190.55 | Facility | 56 · Pre-op care only | $15.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $891.25 Typical High $954.99 | Professional | 52 · Reduced service | $77.62 | $891.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $354.81 Typical High $380.19 | Professional | 53 · Discontinued | $30.90 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $1,348.96 Typical High $1,445.44 | Professional | 54 · Surgery only | $117.49 | $1,348.96 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $269.15 Typical High $288.40 | Professional | 55 · Aftercare only | $23.44 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $177.83 Typical High $190.55 | Professional | 56 · Pre-op care only | $15.49 | $177.83 | $190.55 |
Where Minnesota sits
The same service costs 11.2 times more in Oklahoma 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· 8th of 51
$2,399
OK $2,818HI $251
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.