How much rates vary
Facilitymedian $257 · 10th to 90th $66 to $1,023Professionalmedian $204 · 10th to 90th $95 to $417
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 $66.07 Median $117.49 Typical High $117.49 | Facility | None | $66.07 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $144.54 | Professional | None | $66.07 | $117.49 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $831.76 Typical High $4,265.80 | Facility | None | $309.03 | $831.76 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $363.08 | Professional | None | $102.33 | $204.17 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $602.56 | Facility | None | $204.17 | $316.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $446.68 | Professional | None | $114.82 | $229.09 | $446.68 |
Health Partners Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $512.86 | Facility | None | $181.97 | $295.12 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $467.74 | Professional | None | $114.82 | $213.80 | $467.74 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $1,148.15 | Facility | None | $120.23 | $257.04 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $912.01 | Professional | None | $158.49 | $302.00 | $912.01 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $389.05 | Professional | None | $91.20 | $181.97 | $389.05 |
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 $33.11 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $33.11 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $13.18 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $48.98 Median $89.13 Typical High $89.13 | Facility | 54 · Surgery only | $48.98 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.77 Median $17.78 Typical High $17.78 | Facility | 55 · Aftercare only | $9.77 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $11.75 Typical High $11.75 | Facility | 56 · Pre-op care only | $6.61 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.11 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.18 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $89.13 Typical High $89.13 | Professional | 54 · Surgery only | $48.98 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $9.77 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.61 | $11.75 | $11.75 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Maryland. 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
$204
AK $316MD $95.50
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.