How much rates vary
Facilitymedian $200 · 10th to 90th $58 to $2,951Professionalmedian $138 · 10th to 90th $72 to $257
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 $72.44 Typical High $72.44 | Facility | None | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | None | $57.54 | $72.44 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $331.13 Median $2,454.71 Typical High $5,623.41 | Facility | None | $331.13 | $2,454.71 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $218.78 | Professional | None | $93.33 | $144.54 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $371.54 | Facility | None | $123.03 | $190.55 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $263.03 | Professional | None | $100.00 | $158.49 | $263.03 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $309.03 | Facility | None | $109.65 | $181.97 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $251.19 | Professional | None | $100.00 | $147.91 | $251.19 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,023.29 Typical High $3,090.30 | Facility | None | $102.33 | $1,023.29 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $234.42 Typical High $549.54 | Professional | None | $89.13 | $234.42 | $549.54 |
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 $66.07 Median $120.23 Typical High $251.19 | Professional | None | $66.07 | $120.23 | $251.19 |
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 $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $28.84 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $11.48 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $42.66 Median $53.70 Typical High $53.70 | Facility | 54 · Surgery only | $42.66 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $8.51 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $7.24 | Facility | 56 · Pre-op care only | $5.75 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $53.70 Typical High $61.66 | Professional | 54 · Surgery only | $42.66 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.72 Typical High $12.30 | Professional | 55 · Aftercare only | $8.51 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $8.32 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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
$141
AK $240NJ $56.23
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.