How much rates vary
Facilitymedian $468 · 10th to 90th $76 to $2,455Professionalmedian $257 · 10th to 90th $115 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 $75.86 Median $186.21 Typical High $186.21 | Facility | None | $75.86 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $177.83 Typical High $213.80 | Professional | None | $75.86 | $177.83 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $194.98 Median $1,479.11 Typical High $3,548.13 | Facility | None | $194.98 | $1,479.11 | $3,548.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $117.49 Median $288.40 Typical High $537.03 | Professional | None | $117.49 | $288.40 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $954.99 | Facility | None | $323.59 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $645.65 | Professional | None | $138.04 | $295.12 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $794.33 | Facility | None | $288.40 | $457.09 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $131.83 Median $295.12 Typical High $616.60 | Professional | None | $131.83 | $295.12 | $616.60 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $3,090.30 | Facility | None | $138.04 | $1,148.15 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $562.34 Typical High $1,412.54 | Professional | None | $213.80 | $562.34 | $1,412.54 |
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 $95.50 Median $229.09 Typical High $602.56 | Professional | None | $95.50 | $229.09 | $602.56 |
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 $38.02 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $38.02 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $15.14 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $56.23 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $11.22 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $7.59 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $89.13 Typical High $104.71 | Professional | 52 · Reduced service | $38.02 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $35.48 Typical High $41.69 | Professional | 53 · Discontinued | $15.14 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $131.83 Typical High $154.88 | Professional | 54 · Surgery only | $56.23 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $26.30 Typical High $31.62 | Professional | 55 · Aftercare only | $11.22 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $17.78 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.59 | $17.78 | $20.89 |
Where Minnesota sits
The same service costs 3.7 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· 6th of 51
$269
AK $355MD $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.