How much rates vary
Facilitymedian $437 · 10th to 90th $105 to $9,333Professionalmedian $229 · 10th to 90th $112 to $437
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $9,772.37 Typical High $22,387.21 | Facility | None | $2,454.71 | $9,772.37 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $371.54 | Professional | None | $177.83 | $234.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $537.03 | Facility | None | $181.97 | $281.84 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $446.68 | Professional | None | $165.96 | $263.03 | $446.68 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $457.09 | Facility | None | $162.18 | $263.03 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $398.11 | Professional | None | $181.97 | $245.47 | $398.11 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $2,754.23 Typical High $7,762.47 | Facility | None | $194.98 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $851.14 | Professional | None | $125.89 | $263.03 | $851.14 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $426.58 | Professional | None | $120.23 | $199.53 | $426.58 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 54 · Surgery only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $14.13 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska 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· 7th of 51
$234
AK $468UT $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.