How much rates vary
Facilitymedian $200 · 10th to 90th $62 to $813Professionalmedian $170 · 10th to 90th $89 to $324
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 $61.66 Median $89.13 Typical High $89.13 | Facility | None | $61.66 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $97.72 | Professional | None | $61.66 | $89.13 | $97.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $933.25 | Facility | None | $323.59 | $512.86 | $933.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $281.84 | Professional | None | $102.33 | $169.82 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $436.52 | Facility | None | $144.54 | $223.87 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $380.19 | Professional | None | $138.04 | $218.78 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $363.08 | Facility | None | $128.82 | $208.93 | $363.08 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $354.81 | Professional | None | $117.49 | $204.17 | $354.81 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $1,445.44 | Facility | None | $109.65 | $213.80 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $467.74 | Professional | None | $107.15 | $223.87 | $467.74 |
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 $83.18 Median $158.49 Typical High $302.00 | Professional | None | $83.18 | $158.49 | $302.00 |
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 $30.90 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $30.90 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $12.30 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $46.77 Median $66.07 Typical High $66.07 | Facility | 54 · Surgery only | $46.77 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $13.18 | Facility | 55 · Aftercare only | $9.33 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $6.17 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $12.30 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $66.07 Typical High $66.07 | Professional | 54 · Surgery only | $46.77 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $9.33 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $8.91 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin 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· 3rd of 51
$174
WI $269FL $75.86
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.