How much rates vary
Facilitymedian $871 · 10th to 90th $195 to $2,754Professionalmedian $603 · 10th to 90th $295 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 $194.98 Median $389.05 Typical High $389.05 | Facility | None | $194.98 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $446.68 | Professional | None | $194.98 | $371.54 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $501.19 Median $1,479.11 Typical High $3,467.37 | Facility | None | $501.19 | $1,479.11 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $691.83 Typical High $1,174.90 | Professional | None | $323.59 | $691.83 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $676.08 Typical High $1,348.96 | Professional | None | $346.74 | $676.08 | $1,348.96 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,659.59 | Facility | None | $588.84 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $1,348.96 | Professional | None | $338.84 | $676.08 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,202.26 Typical High $3,090.30 | Facility | None | $389.05 | $1,202.26 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $3,019.95 | Professional | None | $446.68 | $1,174.90 | $3,019.95 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $239.88 Median $524.81 Typical High $1,258.93 | Professional | None | $239.88 | $524.81 | $1,258.93 |
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 $97.72 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $97.72 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $38.90 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $144.54 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $144.54 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $29.51 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $19.50 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $97.72 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $74.13 Typical High $89.13 | Professional | 53 · Discontinued | $38.90 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $281.84 Typical High $331.13 | Professional | 54 · Surgery only | $144.54 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $29.51 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $37.15 Typical High $44.67 | Professional | 56 · Pre-op care only | $19.50 | $37.15 | $44.67 |
Where Minnesota sits
The same service costs 3.8 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· 4th of 51
$631
AK $977DC $257
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.