How much rates vary
Facilitymedian $347 · 10th to 90th $58 to $1,047Professionalmedian $112 · 10th to 90th $47 to $257
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 $28.84 Median $426.58 Typical High $1,047.13 | Facility | None | $28.84 | $426.58 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $77.62 Typical High $95.50 | Professional | None | $28.84 | $77.62 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $1,778.28 | Facility | None | $323.59 | $851.14 | $1,778.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $46.77 Median $125.89 Typical High $223.87 | Professional | None | $46.77 | $125.89 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $380.19 | Facility | None | $125.89 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $147.91 Typical High $323.59 | Professional | None | $64.57 | $147.91 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $316.23 | Facility | None | $112.20 | $181.97 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $128.82 Typical High $281.84 | Professional | None | $58.88 | $128.82 | $281.84 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $234.42 Typical High $1,230.27 | Facility | None | $57.54 | $234.42 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $398.11 | Professional | None | $95.50 | $199.53 | $398.11 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $269.15 | Professional | None | $50.12 | $112.20 | $269.15 |
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 $14.45 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $14.45 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $5.75 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $21.88 Median $57.54 Typical High $57.54 | Facility | 54 · Surgery only | $21.88 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.37 Median $11.75 Typical High $11.75 | Facility | 55 · Aftercare only | $4.37 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.88 Median $7.76 Typical High $7.76 | Facility | 56 · Pre-op care only | $2.88 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $14.45 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $5.75 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $56.23 Typical High $57.54 | Professional | 54 · Surgery only | $21.88 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $11.22 Typical High $11.75 | Professional | 55 · Aftercare only | $4.37 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.88 | $7.59 | $7.76 |
Where Minnesota sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 4th of 51
$132
WI $186NE $60.26
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.