How much rates vary
Facilitymedian $162 · 10th to 90th $45 to $398Professionalmedian $79 · 10th to 90th $38 to $155
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 $24.55 Median $162.18 Typical High $371.54 | Facility | None | $24.55 | $162.18 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $58.88 | Professional | None | $24.55 | $44.67 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $489.78 | Facility | None | $117.49 | $229.09 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $138.04 | Professional | None | $39.81 | $77.62 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $218.78 | Facility | None | $72.44 | $114.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $186.21 | Professional | None | $53.70 | $97.72 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $64.57 Median $104.71 Typical High $181.97 | Facility | None | $64.57 | $104.71 | $181.97 |
Health Partners Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $165.96 | Professional | None | $46.77 | $89.13 | $165.96 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $173.78 Typical High $1,047.13 | Facility | None | $51.29 | $173.78 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $117.49 Typical High $263.03 | Professional | None | $58.88 | $117.49 | $263.03 |
United Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,778.28 | Facility | None | $125.89 | $380.19 | $1,778.28 |
United Setting Professional Modifier None Typical Low $35.48 Median $81.28 Typical High $158.49 | Professional | None | $35.48 | $81.28 | $158.49 |
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 $12.30 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $12.30 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $4.90 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $18.20 Median $33.11 Typical High $33.11 | Facility | 54 · Surgery only | $18.20 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.63 Median $6.61 Typical High $6.61 | Facility | 55 · Aftercare only | $3.63 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.45 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $2.45 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $12.30 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $4.90 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $33.11 Typical High $33.11 | Professional | 54 · Surgery only | $18.20 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $3.63 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.45 | $4.47 | $4.47 |
Where Minnesota sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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
$87.10
WI $132UT $38.90
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.