How much rates vary
Facilitymedian $102 · 10th to 90th $74 to $891Professionalmedian $195 · 10th to 90th $100 to $380
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 $74.13 Median $102.33 Typical High $102.33 | Facility | None | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $123.03 | Professional | None | $74.13 | $102.33 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $446.68 | Facility | None | $131.83 | $239.88 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $323.59 | Professional | None | $125.89 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $1,071.52 | Facility | None | $245.47 | $363.08 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $204.17 Typical High $371.54 | Professional | None | $95.50 | $204.17 | $371.54 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $831.76 | Facility | None | $223.87 | $354.81 | $831.76 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $363.08 | Professional | None | $138.04 | $229.09 | $363.08 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $2,398.83 | Facility | None | $112.20 | $181.97 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $302.00 Typical High $912.01 | Professional | None | $107.15 | $302.00 | $912.01 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $323.59 | Professional | None | $85.11 | $158.49 | $323.59 |
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 $37.15 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $37.15 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $14.79 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $75.86 Typical High $75.86 | Facility | 54 · Surgery only | $56.23 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $11.22 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.00 Typical High $10.00 | Facility | 56 · Pre-op care only | $7.41 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $37.15 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.42 Typical High $24.55 | Professional | 53 · Discontinued | $14.79 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $75.86 Typical High $93.33 | Professional | 54 · Surgery only | $56.23 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.14 Typical High $18.62 | Professional | 55 · Aftercare only | $11.22 | $15.14 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.00 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.41 | $10.00 | $12.30 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 4th of 51
$195
AK $324FL $85.11
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.