How much rates vary
Facilitymedian $977 · 10th to 90th $43 to $4,467Professionalmedian $135 · 10th to 90th $65 to $282
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 $42.66 Median $977.24 Typical High $4,466.84 | Facility | None | $42.66 | $977.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $117.49 | Professional | None | $42.66 | $89.13 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,511.89 | Facility | None | $870.96 | $1,445.44 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $251.19 | Professional | None | $66.07 | $138.04 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $891.25 | Facility | None | $204.17 | $302.00 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $288.40 | Professional | None | $87.10 | $147.91 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $691.83 | Facility | None | $177.83 | $295.12 | $691.83 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $257.04 | Professional | None | $79.43 | $147.91 | $257.04 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $218.78 Typical High $2,187.76 | Facility | None | $74.13 | $218.78 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $208.93 Typical High $1,778.28 | Professional | None | $95.50 | $208.93 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $50.12 Median $120.23 Typical High $257.04 | Professional | None | $50.12 | $120.23 | $257.04 |
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 $21.38 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $21.38 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $8.51 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $31.62 Median $67.61 Typical High $67.61 | Facility | 54 · Surgery only | $31.62 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $6.31 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $4.27 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $21.38 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $8.51 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $63.10 Typical High $69.18 | Professional | 54 · Surgery only | $31.62 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $12.59 Typical High $13.80 | Professional | 55 · Aftercare only | $6.31 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $8.51 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.27 | $8.51 | $9.33 |
Where Minnesota sits
The same service costs 2.5 times more in North Carolina than in Florida. 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· 5th of 51
$135
NC $174FL $70.79
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.