How much rates vary
Facilitymedian $178 · 10th to 90th $41 to $631Professionalmedian $135 · 10th to 90th $65 to $263
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 $40.74 Median $77.62 Typical High $77.62 | Facility | None | $40.74 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $79.43 | Professional | None | $40.74 | $72.44 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $602.56 | Facility | None | $204.17 | $331.13 | $602.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $234.42 | Professional | None | $67.61 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $380.19 | Facility | None | $125.89 | $194.98 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $169.82 Typical High $323.59 | Professional | None | $89.13 | $169.82 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $316.23 | Facility | None | $112.20 | $181.97 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $147.91 Typical High $281.84 | Professional | None | $77.62 | $147.91 | $281.84 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $199.53 Typical High $1,445.44 | Facility | None | $77.62 | $199.53 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $389.05 | Professional | None | $91.20 | $186.21 | $389.05 |
United Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $1,778.28 | Facility | None | $125.89 | $380.19 | $1,778.28 |
United Setting Professional Modifier None Typical Low $56.23 Median $123.03 Typical High $251.19 | Professional | None | $56.23 | $123.03 | $251.19 |
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 $20.42 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $20.42 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $8.13 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.90 Median $57.54 Typical High $57.54 | Facility | 54 · Surgery only | $30.90 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $11.48 Typical High $11.48 | Facility | 55 · Aftercare only | $6.17 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.76 Typical High $7.76 | Facility | 56 · Pre-op care only | $4.07 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $20.42 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $8.13 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $53.70 Typical High $57.54 | Professional | 54 · Surgery only | $30.90 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $6.17 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.07 | $7.08 | $7.76 |
Where Minnesota sits
The same service costs 3.2 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· 4th of 51
$135
WI $204KY $63.10
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.