How much rates vary
Facilitymedian $1,549 · 10th to 90th $79 to $3,802Professionalmedian $891 · 10th to 90th $123 to $3,020
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 $891.25 Typical High $891.25 | Facility | None | $79.43 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $1,000.00 | Professional | None | $79.43 | $831.76 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $1,905.46 Typical High $4,466.84 | Facility | None | $204.17 | $1,905.46 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $630.96 Typical High $2,511.89 | Professional | None | $138.04 | $630.96 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $4,570.88 | Facility | None | $1,445.44 | $2,398.83 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $724.44 Typical High $3,090.30 | Professional | None | $144.54 | $724.44 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,890.45 | Facility | None | $1,380.38 | $2,187.76 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $1,318.26 Typical High $2,951.21 | Professional | None | $138.04 | $1,318.26 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $1,258.93 Typical High $3,090.30 | Facility | None | $165.96 | $1,258.93 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $2,818.38 Typical High $6,918.31 | Professional | None | $1,023.29 | $2,818.38 | $6,918.31 |
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 $97.72 Median $691.83 Typical High $2,951.21 | Professional | None | $97.72 | $691.83 | $2,951.21 |
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 $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $39.81 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $15.85 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $676.08 Typical High $676.08 | Facility | 54 · Surgery only | $58.88 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.02 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $12.02 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $407.38 Typical High $501.19 | Professional | 52 · Reduced service | $39.81 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $165.96 Typical High $199.53 | Professional | 53 · Discontinued | $15.85 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $58.88 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $123.03 Typical High $151.36 | Professional | 55 · Aftercare only | $12.02 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $83.18 Typical High $100.00 | Professional | 56 · Pre-op care only | $7.94 | $83.18 | $100.00 |
Where Minnesota sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 12th of 51
$955
WA $1,288KY $91.20
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.