How much rates vary
Facilitymedian $363 · 10th to 90th $79 to $1,905Professionalmedian $240 · 10th to 90th $123 to $468
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 $79.43 Median $138.04 Typical High $138.04 | Facility | None | $79.43 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $162.18 | Professional | None | $79.43 | $138.04 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $1,513.56 Typical High $2,951.21 | Facility | None | $870.96 | $1,513.56 | $2,951.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $426.58 | Professional | None | $131.83 | $245.47 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $676.08 | Facility | None | $223.87 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $575.44 | Professional | None | $173.78 | $302.00 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $562.34 | Facility | None | $199.53 | $323.59 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $537.03 | Professional | None | $151.36 | $275.42 | $537.03 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $2,570.40 | Facility | None | $147.91 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $1,819.70 | Professional | None | $154.88 | $288.40 | $1,819.70 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $467.74 | Professional | None | $112.20 | $229.09 | $467.74 |
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 $39.81 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $39.81 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $15.85 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $102.33 Typical High $102.33 | Facility | 54 · Surgery only | $58.88 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $11.75 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $7.94 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $39.81 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $15.85 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $100.00 Typical High $102.33 | Professional | 54 · Surgery only | $58.88 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $11.75 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $7.94 | $13.18 | $13.80 |
Where Minnesota sits
The same service costs 3.6 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· 4th of 51
$251
WI $417KY $115
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.