How much rates vary
Facilitymedian $525 · 10th to 90th $126 to $3,802Professionalmedian $257 · 10th to 90th $135 to $501
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $794.33 Median $3,090.30 Typical High $7,244.36 | Facility | None | $794.33 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $416.87 | Professional | None | $194.98 | $257.04 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Facility | None | $218.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $537.03 | Professional | None | $218.78 | $309.03 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $537.03 | Facility | None | $194.98 | $309.03 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $478.63 | Professional | None | $218.78 | $295.12 | $478.63 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $1,230.27 Typical High $3,981.07 | Facility | None | $251.19 | $1,230.27 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,862.09 | Professional | None | $151.36 | $316.23 | $1,862.09 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $489.78 | Professional | None | $141.25 | $245.47 | $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 $63.10 Median $63.10 Typical High $63.10 | Facility | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 56 · Pre-op care only | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | 54 · Surgery only | $95.50 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $16.98 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in Utah. 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
$275
AK $537UT $100
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.