How much rates vary
Facilitymedian $1,698 · 10th to 90th $178 to $6,310Professionalmedian $1,479 · 10th to 90th $178 to $2,818
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $263.03 | Professional | None | $177.83 | $177.83 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $8,128.31 Typical High $13,489.63 | Facility | None | $4,265.80 | $8,128.31 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,905.46 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,691.53 | Facility | None | $954.99 | $1,548.82 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,737.80 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $5,011.87 | Facility | None | $1,047.13 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,412.54 Typical High $3,890.45 | Professional | None | $741.31 | $1,412.54 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,202.26 Typical High $2,630.27 | Professional | None | $537.03 | $1,202.26 | $2,630.27 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | 52 · Reduced service | $89.13 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 53 · Discontinued | $35.48 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | 54 · Surgery only | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $25.12 |
Where Minnesota sits
The same service costs 53.7 times more in Alaska than in New York. 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
$1,585
AK $2,692NY $50.12
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.