How much rates vary
Facilitymedian $741 · 10th to 90th $214 to $2,951Professionalmedian $427 · 10th to 90th $224 to $832
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | None | $213.80 | $213.80 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $549.54 Median $1,905.46 Typical High $4,466.84 | Facility | None | $549.54 | $1,905.46 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $707.95 | Professional | None | $331.13 | $426.58 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,096.48 | Facility | None | $363.08 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $912.01 | Professional | None | $371.54 | $524.81 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $912.01 | Facility | None | $323.59 | $524.81 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $812.83 | Professional | None | $371.54 | $489.78 | $812.83 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,467.37 | Facility | None | $389.05 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $1,698.24 | Professional | None | $251.19 | $489.78 | $1,698.24 |
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 $407.38 Typical High $831.76 | Professional | None | $239.88 | $407.38 | $831.76 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | 54 · Surgery only | $158.49 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $26.92 |
Where Minnesota sits
The same service costs 4.7 times more in Wyoming 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· 8th of 51
$457
WY $912UT $195
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.