How much rates vary
Facilitymedian $447 · 10th to 90th $60 to $2,884Professionalmedian $204 · 10th to 90th $93 to $525
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 $60.26 Median $162.18 Typical High $162.18 | Facility | None | $60.26 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $128.82 Typical High $181.97 | Professional | None | $60.26 | $128.82 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $4,466.84 | Facility | None | $1,548.82 | $2,570.40 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $457.09 | Professional | None | $107.15 | $245.47 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $831.76 | Facility | None | $275.42 | $426.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $251.19 Typical High $562.34 | Professional | None | $112.20 | $251.19 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $691.83 | Facility | None | $245.47 | $398.11 | $691.83 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $251.19 Typical High $524.81 | Professional | None | $104.71 | $251.19 | $524.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $1,023.29 Typical High $3,019.95 | Facility | None | $125.89 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $446.68 Typical High $1,230.27 | Professional | None | $154.88 | $446.68 | $1,230.27 |
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 $74.13 Median $173.78 Typical High $467.74 | Professional | None | $74.13 | $173.78 | $467.74 |
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 $30.20 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $30.20 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $12.02 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $45.71 Median $120.23 Typical High $120.23 | Facility | 54 · Surgery only | $45.71 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.12 Median $23.99 Typical High $23.99 | Facility | 55 · Aftercare only | $9.12 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.03 Median $16.22 Typical High $16.22 | Facility | 56 · Pre-op care only | $6.03 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $60.26 Typical High $85.11 | Professional | 52 · Reduced service | $30.20 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $23.99 Typical High $33.88 | Professional | 53 · Discontinued | $12.02 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $89.13 Typical High $128.82 | Professional | 54 · Surgery only | $45.71 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $17.78 Typical High $25.70 | Professional | 55 · Aftercare only | $9.12 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $12.02 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.03 | $12.02 | $16.98 |
Where Minnesota sits
The same service costs 3.7 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
$214
AK $309DC $83.18
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.