How much rates vary
Facilitymedian $148 · 10th to 90th $58 to $1,259Professionalmedian $209 · 10th to 90th $85 to $617
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 $57.54 Median $147.91 Typical High $147.91 | Facility | None | $57.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $169.82 | Professional | None | $57.54 | $144.54 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $354.81 | Facility | None | $104.71 | $194.98 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $93.33 Median $223.87 Typical High $416.87 | Professional | None | $93.33 | $223.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $1,513.56 | Facility | None | $354.81 | $537.03 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $194.98 Typical High $512.86 | Professional | None | $79.43 | $194.98 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,202.26 | Facility | None | $302.00 | $501.19 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $251.19 Typical High $512.86 | Professional | None | $112.20 | $251.19 | $512.86 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $269.15 Typical High $2,398.83 | Facility | None | $97.72 | $269.15 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $707.95 Typical High $2,951.21 | Professional | None | $181.97 | $707.95 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $72.44 Median $177.83 Typical High $489.78 | Professional | None | $72.44 | $177.83 | $489.78 |
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 $28.84 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $28.84 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $11.48 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $42.66 Median $109.65 Typical High $109.65 | Facility | 54 · Surgery only | $42.66 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.71 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $8.71 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $14.79 Typical High $14.79 | Facility | 56 · Pre-op care only | $5.75 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $28.84 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $11.48 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $107.15 Typical High $125.89 | Professional | 54 · Surgery only | $42.66 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $21.38 Typical High $25.12 | Professional | 55 · Aftercare only | $8.71 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $14.45 Typical High $16.98 | Professional | 56 · Pre-op care only | $5.75 | $14.45 | $16.98 |
Where Minnesota sits
The same service costs 3.7 times more in Wisconsin 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· 7th of 51
$204
WI $302MD $81.28
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.