How much rates vary
Facilitymedian $501 · 10th to 90th $79 to $1,349Professionalmedian $355 · 10th to 90th $126 to $1,072
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 $79.43 Median $316.23 Typical High $316.23 | Facility | None | $79.43 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $309.03 Typical High $354.81 | Professional | None | $79.43 | $309.03 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $954.99 | Facility | None | $323.59 | $575.44 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $144.54 Median $467.74 Typical High $912.01 | Professional | None | $144.54 | $467.74 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $1,096.48 | Professional | None | $147.91 | $389.05 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,348.96 | Facility | None | $489.78 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $478.63 Typical High $1,047.13 | Professional | None | $138.04 | $478.63 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,148.15 | Facility | None | $125.89 | $389.05 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $977.24 Typical High $2,454.71 | Professional | None | $371.54 | $977.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $97.72 Median $338.84 Typical High $1,047.13 | Professional | None | $97.72 | $338.84 | $1,047.13 |
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 $39.81 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $39.81 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $16.22 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $60.26 Median $239.88 Typical High $239.88 | Facility | 54 · Surgery only | $60.26 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.02 Median $47.86 Typical High $47.86 | Facility | 55 · Aftercare only | $12.02 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $7.94 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $154.88 Typical High $177.83 | Professional | 52 · Reduced service | $39.81 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $61.66 Typical High $72.44 | Professional | 53 · Discontinued | $16.22 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $234.42 Typical High $269.15 | Professional | 54 · Surgery only | $60.26 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $46.77 Typical High $53.70 | Professional | 55 · Aftercare only | $12.02 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $30.90 Typical High $35.48 | Professional | 56 · Pre-op care only | $7.94 | $30.90 | $35.48 |
Where Minnesota sits
The same service costs 4.8 times more in Wisconsin 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· 9th of 51
$363
WI $479DC $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.