How much rates vary
Facilitymedian $501 · 10th to 90th $115 to $3,162Professionalmedian $363 · 10th to 90th $178 to $724
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 $114.82 Median $194.98 Typical High $194.98 | Facility | None | $114.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $229.09 | Professional | None | $114.82 | $194.98 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $295.12 Median $2,630.27 Typical High $6,165.95 | Facility | None | $295.12 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $630.96 | Professional | None | $186.21 | $363.08 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $1,000.00 | Facility | None | $338.84 | $524.81 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $870.96 | Professional | None | $269.15 | $478.63 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $851.14 | Facility | None | $302.00 | $489.78 | $851.14 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $812.83 | Professional | None | $234.42 | $416.87 | $812.83 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,230.27 Typical High $3,801.89 | Facility | None | $229.09 | $1,230.27 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $524.81 Typical High $912.01 | Professional | None | $239.88 | $524.81 | $912.01 |
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 $162.18 Median $346.74 Typical High $707.95 | Professional | None | $162.18 | $346.74 | $707.95 |
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 $57.54 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $57.54 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $22.91 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $144.54 Typical High $144.54 | Facility | 54 · Surgery only | $85.11 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $16.98 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $11.48 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $57.54 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $22.91 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $144.54 Typical High $151.36 | Professional | 54 · Surgery only | $85.11 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $28.84 Typical High $30.20 | Professional | 55 · Aftercare only | $16.98 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $19.50 Typical High $19.95 | Professional | 56 · Pre-op care only | $11.48 | $19.50 | $19.95 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska 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
$372
AK $631KY $158
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.