How much rates vary
Facilitymedian $550 · 10th to 90th $91 to $5,129Professionalmedian $295 · 10th to 90th $145 to $661
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 $91.20 Median $199.53 Typical High $199.53 | Facility | None | $91.20 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $229.09 | Professional | None | $91.20 | $186.21 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,398.83 Median $5,248.07 Typical High $10,471.29 | Facility | None | $2,398.83 | $5,248.07 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $602.56 | Professional | None | $165.96 | $346.74 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,023.29 | Facility | None | $346.74 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $691.83 | Professional | None | $165.96 | $346.74 | $691.83 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | None | $309.03 | $501.19 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $645.65 | Professional | None | $158.49 | $346.74 | $645.65 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $1,659.59 Typical High $4,786.30 | Facility | None | $181.97 | $1,659.59 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $562.34 Typical High $1,548.82 | Professional | None | $204.17 | $562.34 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,513.56 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $588.84 | Professional | None | $112.20 | $245.47 | $588.84 |
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 $45.71 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $45.71 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $18.20 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $67.61 Median $151.36 Typical High $151.36 | Facility | 54 · Surgery only | $67.61 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $30.20 Typical High $30.20 | Facility | 55 · Aftercare only | $13.80 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $19.95 Typical High $19.95 | Facility | 56 · Pre-op care only | $9.12 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $45.71 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $37.15 Typical High $45.71 | Professional | 53 · Discontinued | $18.20 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $138.04 Typical High $173.78 | Professional | 54 · Surgery only | $67.61 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $27.54 Typical High $34.67 | Professional | 55 · Aftercare only | $13.80 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $18.62 Typical High $22.91 | Professional | 56 · Pre-op care only | $9.12 | $18.62 | $22.91 |
Where Minnesota sits
The same service costs 4.0 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
$309
AK $468DC $117
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.