How much rates vary
Facilitymedian $468 · 10th to 90th $85 to $5,495Professionalmedian $257 · 10th to 90th $132 to $575
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 $85.11 Median $169.82 Typical High $169.82 | Facility | None | $85.11 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $181.97 | Professional | None | $85.11 | $144.54 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,388.44 Median $5,248.07 Typical High $10,471.29 | Facility | None | $3,388.44 | $5,248.07 | $10,471.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $501.19 | Professional | None | $144.54 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $851.14 | Facility | None | $288.40 | $446.68 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $588.84 | Professional | None | $151.36 | $295.12 | $588.84 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $575.44 | Professional | None | $147.91 | $288.40 | $575.44 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $1,698.24 Typical High $6,606.93 | Facility | None | $190.55 | $1,698.24 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $478.63 Typical High $1,318.26 | Professional | None | $177.83 | $478.63 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,513.56 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $512.86 | Professional | None | $104.71 | $213.80 | $512.86 |
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 $42.66 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $42.66 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $16.98 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $63.10 Median $125.89 Typical High $125.89 | Facility | 54 · Surgery only | $63.10 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $25.12 Typical High $25.12 | Facility | 55 · Aftercare only | $12.59 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.51 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $8.51 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $42.66 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $30.20 Typical High $36.31 | Professional | 53 · Discontinued | $16.98 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $112.20 Typical High $134.90 | Professional | 54 · Surgery only | $63.10 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $22.39 Typical High $26.92 | Professional | 55 · Aftercare only | $12.59 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.14 Typical High $17.78 | Professional | 56 · Pre-op care only | $8.51 | $15.14 | $17.78 |
Where Minnesota sits
The same service costs 3.6 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· 5th of 51
$269
AK $407DC $112
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.