How much rates vary
Facilitymedian $537 · 10th to 90th $76 to $4,266Professionalmedian $257 · 10th to 90th $123 to $631
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 $75.86 Median $194.98 Typical High $194.98 | Facility | None | $75.86 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $218.78 | Professional | None | $75.86 | $181.97 | $218.78 |
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 $141.25 Median $316.23 Typical High $575.44 | Professional | None | $141.25 | $316.23 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $1,000.00 | Facility | None | $331.13 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $660.69 | Professional | None | $138.04 | $302.00 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $831.76 | Facility | None | $295.12 | $478.63 | $831.76 |
Health Partners Setting Professional Modifier None Typical Low $131.83 Median $302.00 Typical High $630.96 | Professional | None | $131.83 | $302.00 | $630.96 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $1,148.15 Typical High $3,467.37 | Facility | None | $151.36 | $1,148.15 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $549.54 Typical High $1,479.11 | Professional | None | $194.98 | $549.54 | $1,479.11 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $575.44 | Professional | None | $97.72 | $218.78 | $575.44 |
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 $38.02 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $38.02 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $15.49 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $57.54 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $57.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $11.48 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $7.59 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $87.10 Typical High $109.65 | Professional | 52 · Reduced service | $38.02 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $15.49 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $131.83 Typical High $165.96 | Professional | 54 · Surgery only | $57.54 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $26.30 Typical High $33.11 | Professional | 55 · Aftercare only | $11.48 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $17.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $7.59 | $17.38 | $21.88 |
Where Minnesota sits
The same service costs 4.5 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· 6th of 51
$269
AK $437DC $97.72
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.