How much rates vary
Facilitymedian $1,072 · 10th to 90th $302 to $6,918Professionalmedian $646 · 10th to 90th $331 to $1,202
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $5,754.40 Typical High $13,489.63 | Facility | None | $933.25 | $5,754.40 | $13,489.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,023.29 | Professional | None | $489.78 | $645.65 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Facility | None | $512.86 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,258.93 | Professional | None | $467.74 | $741.31 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,288.25 | Facility | None | $457.09 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,148.15 | Professional | None | $524.81 | $691.83 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $2,754.23 Typical High $7,762.47 | Facility | None | $549.54 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $776.25 Typical High $2,454.71 | Professional | None | $380.19 | $776.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $10,000.00 | Facility | None | $1,995.26 | $3,090.30 | $10,000.00 |
United Setting Professional Modifier None Typical Low $346.74 Median $616.60 Typical High $1,202.26 | Professional | None | $346.74 | $616.60 | $1,202.26 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 54 · Surgery only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | 53 · Discontinued | $60.26 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $302.00 | Professional | 54 · Surgery only | $223.87 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $39.81 |
Where Minnesota sits
The same service costs 7.2 times more in Wisconsin than in Montana. 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.
Physician feeFacility fee
WI $7,422MT $1,038
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.