How much rates vary
Facilitymedian $759 · 10th to 90th $191 to $2,455Professionalmedian $575 · 10th to 90th $302 to $1,175
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 $190.55 Median $331.13 Typical High $331.13 | Facility | None | $190.55 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $346.74 | Professional | None | $190.55 | $323.59 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $467.74 Median $1,096.48 Typical High $2,511.89 | Facility | None | $467.74 | $1,096.48 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $1,047.13 | Professional | None | $316.23 | $588.84 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,621.81 | Facility | None | $549.54 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $1,412.54 | Professional | None | $416.87 | $741.31 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,380.38 | Facility | None | $489.78 | $794.33 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $1,288.25 | Professional | None | $371.54 | $660.69 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $3,090.30 | Facility | None | $363.08 | $1,148.15 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $851.14 Typical High $1,698.24 | Professional | None | $371.54 | $851.14 | $1,698.24 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $1,148.15 | Professional | None | $263.03 | $524.81 | $1,148.15 |
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 $95.50 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $95.50 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $38.02 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $144.54 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $144.54 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.84 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $28.84 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.05 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $19.05 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $95.50 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $38.02 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $234.42 Typical High $251.19 | Professional | 54 · Surgery only | $144.54 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $46.77 Typical High $50.12 | Professional | 55 · Aftercare only | $28.84 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $19.05 | $31.62 | $33.11 |
Where Minnesota sits
The same service costs 3.0 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· 5th of 51
$589
WI $891KY $295
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.