How much rates vary
Facilitymedian $417 · 10th to 90th $112 to $3,467Professionalmedian $182 · 10th to 90th $78 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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | None | $112.20 | $112.20 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $338.84 Median $2,454.71 Typical High $5,623.41 | Facility | None | $338.84 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $87.10 | Professional | None | $69.18 | $77.62 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $588.84 | Facility | None | $199.53 | $309.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $489.78 | Professional | None | $181.97 | $288.40 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $501.19 | Facility | None | $177.83 | $288.40 | $501.19 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $446.68 | Professional | None | $199.53 | $269.15 | $446.68 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $1,258.93 Typical High $3,467.37 | Facility | None | $194.98 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $891.25 | Professional | None | $128.82 | $257.04 | $891.25 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $436.52 | Professional | None | $125.89 | $208.93 | $436.52 |
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 $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 54 · Surgery only | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $14.13 |
Where Minnesota sits
The same service costs 6.0 times more in Alaska 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
$204
AK $501KY $83.18
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.