How much rates vary
Facilitymedian $537 · 10th to 90th $76 to $2,455Professionalmedian $263 · 10th to 90th $117 to $692
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 $213.80 Typical High $213.80 | Facility | None | $75.86 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $162.18 Typical High $239.88 | Professional | None | $75.86 | $162.18 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $1,479.11 Typical High $3,467.37 | Facility | None | $190.55 | $1,479.11 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $602.56 | Professional | None | $128.82 | $316.23 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,096.48 | Facility | None | $363.08 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $331.13 Typical High $741.31 | Professional | None | $138.04 | $331.13 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $912.01 | Facility | None | $323.59 | $524.81 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $128.82 Median $331.13 Typical High $691.83 | Professional | None | $128.82 | $331.13 | $691.83 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $1,202.26 Typical High $3,090.30 | Facility | None | $151.36 | $1,202.26 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $602.56 Typical High $1,659.59 | Professional | None | $213.80 | $602.56 | $1,659.59 |
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 $91.20 Median $229.09 Typical High $630.96 | Professional | None | $91.20 | $229.09 | $630.96 |
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 $37.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $37.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $15.14 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $158.49 Typical High $158.49 | Facility | 54 · Surgery only | $56.23 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $11.22 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $7.59 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $37.15 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $32.36 Typical High $44.67 | Professional | 53 · Discontinued | $15.14 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $120.23 Typical High $169.82 | Professional | 54 · Surgery only | $56.23 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $23.99 Typical High $33.88 | Professional | 55 · Aftercare only | $11.22 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $16.22 Typical High $22.39 | Professional | 56 · Pre-op care only | $7.59 | $16.22 | $22.39 |
Where Minnesota sits
The same service costs 4.1 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· 7th of 51
$275
AK $398DC $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.