How much rates vary
Facilitymedian $347 · 10th to 90th $45 to $2,344Professionalmedian $158 · 10th to 90th $69 to $407
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 $44.67 Median $125.89 Typical High $125.89 | Facility | None | $44.67 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $112.20 Typical High $144.54 | Professional | None | $44.67 | $112.20 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $3,890.45 | Facility | None | $1,202.26 | $2,187.76 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $363.08 | Professional | None | $77.62 | $194.98 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Facility | None | $218.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $194.98 Typical High $436.52 | Professional | None | $83.18 | $194.98 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $537.03 | Facility | None | $194.98 | $309.03 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $194.98 Typical High $416.87 | Professional | None | $77.62 | $194.98 | $416.87 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $645.65 Typical High $2,570.40 | Facility | None | $89.13 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $371.54 Typical High $954.99 | Professional | None | $138.04 | $371.54 | $954.99 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $54.95 Median $141.25 Typical High $380.19 | Professional | None | $54.95 | $141.25 | $380.19 |
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 $22.39 Median $63.10 Typical High $63.10 | Facility | 52 · Reduced service | $22.39 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $25.12 Typical High $25.12 | Facility | 53 · Discontinued | $9.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $33.88 Median $95.50 Typical High $95.50 | Facility | 54 · Surgery only | $33.88 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.76 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $6.76 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.47 Median $12.59 Typical High $12.59 | Facility | 56 · Pre-op care only | $4.47 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $22.39 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $9.12 | $22.39 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $83.18 Typical High $102.33 | Professional | 54 · Surgery only | $33.88 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $6.76 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $11.22 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.47 | $11.22 | $13.80 |
Where Minnesota sits
The same service costs 3.5 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· 5th of 51
$170
AK $224DC $63.10
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.