How much rates vary
Facilitymedian $234 · 10th to 90th $30 to $2,818Professionalmedian $129 · 10th to 90th $50 to $347
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 $29.51 Median $100.00 Typical High $2,818.38 | Facility | None | $29.51 | $100.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $97.72 Typical High $112.20 | Professional | None | $29.51 | $97.72 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $75.86 Median $812.83 Typical High $1,905.46 | Facility | None | $75.86 | $812.83 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $51.29 Median $154.88 Typical High $295.12 | Professional | None | $51.29 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $512.86 | Facility | None | $162.18 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $436.52 | Professional | None | $67.61 | $177.83 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $60.26 Median $151.36 Typical High $380.19 | Professional | None | $60.26 | $151.36 | $380.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $234.42 Typical High $1,318.26 | Facility | None | $54.95 | $234.42 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $741.31 | Professional | None | $120.23 | $269.15 | $741.31 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,862.09 | Facility | None | $125.89 | $426.58 | $1,862.09 |
United Setting Professional Modifier None Typical Low $43.65 Median $120.23 Typical High $354.81 | Professional | None | $43.65 | $120.23 | $354.81 |
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 $14.79 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $14.79 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $5.89 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $21.88 Median $74.13 Typical High $74.13 | Facility | 54 · Surgery only | $21.88 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.37 Median $14.79 Typical High $14.79 | Facility | 55 · Aftercare only | $4.37 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.95 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $2.95 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $14.79 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $5.89 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $74.13 Typical High $74.13 | Professional | 54 · Surgery only | $21.88 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $4.37 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $2.95 | $10.00 | $10.00 |
Where Minnesota sits
The same service costs 5.4 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· 5th of 51
$158
WI $209HI $38.90
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.