How much rates vary
Facilitymedian $724 · 10th to 90th $186 to $8,913Professionalmedian $398 · 10th to 90th $219 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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,148.15 Median $7,413.10 Typical High $17,782.79 | Facility | None | $1,148.15 | $7,413.10 | $17,782.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $645.65 | Professional | None | $269.15 | $363.08 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $891.25 | Facility | None | $295.12 | $467.74 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $831.76 | Professional | None | $338.84 | $537.03 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $741.31 | Facility | None | $263.03 | $426.58 | $741.31 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $741.31 | Professional | None | $302.00 | $478.63 | $741.31 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $3,467.37 Typical High $8,709.64 | Facility | None | $316.23 | $3,467.37 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $43,651.58 | Professional | None | $229.09 | $436.52 | $43,651.58 |
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 $223.87 Median $407.38 Typical High $794.33 | Professional | None | $223.87 | $407.38 | $794.33 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 53 · Discontinued | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 54 · Surgery only | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $19.95 |
Where Minnesota sits
The same service costs 10.2 times more in Oklahoma 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· 11th of 51
$427
OK $1,950KY $191
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.