How much rates vary
Facilitymedian $955 · 10th to 90th $148 to $3,467Professionalmedian $513 · 10th to 90th $229 to $1,318
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 $147.91 Median $407.38 Typical High $407.38 | Facility | None | $147.91 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $380.19 Typical High $457.09 | Professional | None | $147.91 | $380.19 | $457.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $3,090.30 Typical High $7,244.36 | Facility | None | $933.25 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $616.60 Typical High $1,148.15 | Professional | None | $245.47 | $616.60 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $2,041.74 | Facility | None | $676.08 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $630.96 Typical High $1,412.54 | Professional | None | $275.42 | $630.96 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $616.60 Typical High $1,318.26 | Professional | None | $257.04 | $616.60 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,202.26 Typical High $3,467.37 | Facility | None | $295.12 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,202.26 Typical High $3,090.30 | Professional | None | $436.52 | $1,202.26 | $3,090.30 |
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 $181.97 Median $467.74 Typical High $1,230.27 | Professional | None | $181.97 | $467.74 | $1,230.27 |
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 $74.13 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $74.13 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $29.51 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $112.20 Median $302.00 Typical High $302.00 | Facility | 54 · Surgery only | $112.20 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.39 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $22.39 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $14.79 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $181.97 Typical High $229.09 | Professional | 52 · Reduced service | $74.13 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $72.44 Typical High $91.20 | Professional | 53 · Discontinued | $29.51 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $269.15 Typical High $346.74 | Professional | 54 · Surgery only | $112.20 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $53.70 Typical High $69.18 | Professional | 55 · Aftercare only | $22.39 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $36.31 Typical High $45.71 | Professional | 56 · Pre-op care only | $14.79 | $36.31 | $45.71 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$550
AK $851DC $191
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.