How much rates vary
Facilitymedian $224 · 10th to 90th $51 to $1,072Professionalmedian $170 · 10th to 90th $81 to $339
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 $51.29 Median $100.00 Typical High $100.00 | Facility | None | $51.29 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $123.03 | Professional | None | $51.29 | $100.00 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $1,819.70 | Facility | None | $323.59 | $870.96 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $302.00 | Professional | None | $85.11 | $173.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $489.78 | Facility | None | $162.18 | $251.19 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $416.87 | Professional | None | $114.82 | $213.80 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $407.38 | Facility | None | $144.54 | $234.42 | $407.38 |
Health Partners Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $363.08 | Professional | None | $100.00 | $190.55 | $363.08 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $239.88 Typical High $1,288.25 | Facility | None | $93.33 | $239.88 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $588.84 | Professional | None | $120.23 | $251.19 | $588.84 |
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 $74.13 Median $162.18 Typical High $338.84 | Professional | None | $74.13 | $162.18 | $338.84 |
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 $25.70 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $25.70 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $10.23 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.90 Median $74.13 Typical High $74.13 | Facility | 54 · Surgery only | $38.90 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.76 Median $14.79 Typical High $14.79 | Facility | 55 · Aftercare only | $7.76 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $5.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $25.70 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $10.23 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $72.44 Typical High $74.13 | Professional | 54 · Surgery only | $38.90 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $14.45 Typical High $14.79 | Professional | 55 · Aftercare only | $7.76 | $14.45 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $9.55 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.13 | $9.55 | $10.00 |
Where Minnesota sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 3rd of 51
$174
WI $257KY $91.20
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.