How much rates vary
Facilitymedian $490 · 10th to 90th $129 to $4,898Professionalmedian $234 · 10th to 90th $155 to $457
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | None | $128.82 | $128.82 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $691.83 Median $2,691.53 Typical High $6,165.95 | Facility | None | $691.83 | $2,691.53 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $407.38 | Professional | None | $173.78 | $213.80 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $1,230.27 | Facility | None | $288.40 | $436.52 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $549.54 | Professional | None | $218.78 | $346.74 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $954.99 | Facility | None | $257.04 | $407.38 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $501.19 | Professional | None | $204.17 | $288.40 | $501.19 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $2,511.89 Typical High $5,888.44 | Facility | None | $190.55 | $2,511.89 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $436.52 | Professional | None | $154.88 | $229.09 | $436.52 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $6,309.57 | Facility | None | $2,691.53 | $4,265.80 | $6,309.57 |
United Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $446.68 | Professional | None | $151.36 | $229.09 | $446.68 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 54 · Surgery only | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $21.38 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $14.45 |
Where Minnesota sits
The same service costs 37.2 times more in Oklahoma 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· 21st of 51
$251
OK $4,266NY $115
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.