How much rates vary
Facilitymedian $1,738 · 10th to 90th $195 to $8,318Professionalmedian $955 · 10th to 90th $295 to $3,090
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 $194.98 Median $794.33 Typical High $3,801.89 | Facility | None | $194.98 | $794.33 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $794.33 Typical High $933.25 | Professional | None | $194.98 | $794.33 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $602.56 Median $5,754.40 Typical High $13,489.63 | Facility | None | $602.56 | $5,754.40 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $1,122.02 Typical High $2,238.72 | Professional | None | $331.13 | $1,122.02 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $8,128.31 | Facility | None | $1,905.46 | $2,884.03 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $851.14 Typical High $2,691.53 | Professional | None | $288.40 | $851.14 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $6,456.54 | Facility | None | $1,659.59 | $2,691.53 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,754.23 | Professional | None | $380.19 | $1,202.26 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,479.11 Typical High $9,332.54 | Facility | None | $323.59 | $1,479.11 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $3,090.30 Typical High $6,165.95 | Professional | None | $1,023.29 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $10,715.19 | Facility | None | $4,265.80 | $7,244.36 | $10,715.19 |
United Setting Professional Modifier None Typical Low $245.47 Median $851.14 Typical High $2,630.27 | Professional | None | $245.47 | $851.14 | $2,630.27 |
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 $95.50 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $95.50 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $38.90 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $144.54 Median $602.56 Typical High $602.56 | Facility | 54 · Surgery only | $144.54 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.84 Median $120.23 Typical High $120.23 | Facility | 55 · Aftercare only | $28.84 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $19.50 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $95.50 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $38.90 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $144.54 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $28.84 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $19.50 | $79.43 | $91.20 |
Where Minnesota sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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
$955
WI $1,514MD $282
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.