How much rates vary
Facilitymedian $1,349 · 10th to 90th $380 to $9,333Professionalmedian $759 · 10th to 90th $398 to $1,514
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None | $380.19 | $380.19 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $9,332.54 Typical High $22,387.21 | Facility | None | $1,174.90 | $9,332.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,258.93 | Professional | None | $588.84 | $758.58 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,949.84 | Facility | None | $645.65 | $1,000.00 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,584.89 | Professional | None | $588.84 | $933.25 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,621.81 | Facility | None | $575.44 | $933.25 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,445.44 | Professional | None | $660.69 | $870.96 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,754.23 Typical High $7,762.47 | Facility | None | $691.83 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $3,311.31 | Professional | None | $457.09 | $933.25 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $1,479.11 | Professional | None | $426.58 | $724.44 | $1,479.11 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | 53 · Discontinued | $75.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | 54 · Surgery only | $281.84 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $47.86 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Texas. 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
$813
AK $1,622TX $363
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.