How much rates vary
Facilitymedian $1,148 · 10th to 90th $331 to $4,677Professionalmedian $661 · 10th to 90th $347 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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,023.29 Median $3,090.30 Typical High $7,244.36 | Facility | None | $1,023.29 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,096.48 | Professional | None | $512.86 | $660.69 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,698.24 | Facility | None | $562.34 | $870.96 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $1,380.38 | Professional | None | $512.86 | $812.83 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,258.93 | Professional | None | $575.44 | $758.58 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $4,897.79 | Facility | None | $602.56 | $2,137.96 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $2,818.38 | Professional | None | $398.11 | $812.83 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,288.25 | Professional | None | $371.54 | $630.96 | $1,288.25 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | 54 · Surgery only | $245.47 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $42.66 |
Where Minnesota sits
The same service costs 4.8 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· 7th of 51
$708
AK $1,413UT $295
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.