How much rates vary
Facilitymedian $427 · 10th to 90th $39 to $2,138Professionalmedian $166 · 10th to 90th $60 to $513
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 $38.90 Median $154.88 Typical High $154.88 | Facility | None | $38.90 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $138.04 Typical High $173.78 | Professional | None | $38.90 | $138.04 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,467.37 | Facility | None | $660.69 | $1,659.59 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $218.78 Typical High $436.52 | Professional | None | $64.57 | $218.78 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $794.33 | Facility | None | $257.04 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $177.83 Typical High $537.03 | Professional | None | $72.44 | $177.83 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $676.08 | Facility | None | $239.88 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $234.42 Typical High $512.86 | Professional | None | $67.61 | $234.42 | $512.86 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $645.65 Typical High $2,344.23 | Facility | None | $70.79 | $645.65 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $1,202.26 | Professional | None | $173.78 | $467.74 | $1,202.26 |
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 $45.71 Median $154.88 Typical High $478.63 | Professional | None | $45.71 | $154.88 | $478.63 |
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 $19.50 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $19.50 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $7.76 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $29.51 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $29.51 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.89 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $5.89 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.89 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $3.89 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $19.50 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $7.76 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $104.71 Typical High $128.82 | Professional | 54 · Surgery only | $29.51 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $20.89 Typical High $25.70 | Professional | 55 · Aftercare only | $5.89 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $13.80 Typical High $17.38 | Professional | 56 · Pre-op care only | $3.89 | $13.80 | $17.38 |
Where Minnesota sits
The same service costs 4.6 times more in Wisconsin 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· 9th of 51
$178
WI $240DC $52.48
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.