How much rates vary
Facilitymedian $331 · 10th to 90th $71 to $871Professionalmedian $245 · 10th to 90th $112 to $537
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 $70.79 Median $162.18 Typical High $162.18 | Facility | None | $70.79 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $162.18 | Professional | None | $70.79 | $131.83 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $549.54 Typical High $954.99 | Facility | None | $323.59 | $549.54 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $269.15 Typical High $478.63 | Professional | None | $114.82 | $269.15 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $794.33 | Facility | None | $263.03 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $691.83 | Professional | None | $154.88 | $316.23 | $691.83 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $676.08 | Facility | None | $239.88 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $588.84 | Professional | None | $138.04 | $275.42 | $588.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $1,445.44 | Facility | None | $125.89 | $309.03 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $776.25 | Professional | None | $151.36 | $371.54 | $776.25 |
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 $100.00 Median $204.17 Typical High $501.19 | Professional | None | $100.00 | $204.17 | $501.19 |
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 $34.67 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $34.67 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $14.13 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $123.03 Typical High $123.03 | Facility | 54 · Surgery only | $52.48 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $24.55 Typical High $24.55 | Facility | 55 · Aftercare only | $10.47 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $16.22 Typical High $16.22 | Facility | 56 · Pre-op care only | $7.08 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $34.67 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $14.13 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $104.71 Typical High $123.03 | Professional | 54 · Surgery only | $52.48 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $10.47 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $14.13 Typical High $16.22 | Professional | 56 · Pre-op care only | $7.08 | $14.13 | $16.22 |
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· 3rd of 51
$257
WI $380KY $105
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.