How much rates vary
Facilitymedian $269 · 10th to 90th $59 to $2,692Professionalmedian $191 · 10th to 90th $95 to $363
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 $58.88 Median $95.50 Typical High $95.50 | Facility | None | $58.88 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $117.49 | Professional | None | $58.88 | $91.20 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,174.90 | $3,162.28 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $323.59 | Professional | None | $104.71 | $190.55 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $501.19 | Facility | None | $169.82 | $263.03 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $436.52 | Professional | None | $138.04 | $239.88 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $416.87 | Facility | None | $151.36 | $239.88 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $398.11 | Professional | None | $120.23 | $213.80 | $398.11 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $645.65 Typical High $2,570.40 | Facility | None | $109.65 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $251.19 Typical High $758.58 | Professional | None | $114.82 | $251.19 | $758.58 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $346.74 | Professional | None | $85.11 | $165.96 | $346.74 |
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 $29.51 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $29.51 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $11.75 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $44.67 Median $72.44 Typical High $72.44 | Facility | 54 · Surgery only | $44.67 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $14.45 Typical High $14.45 | Facility | 55 · Aftercare only | $8.91 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $5.89 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $45.71 Typical High $47.86 | Professional | 52 · Reduced service | $29.51 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $11.75 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $67.61 Typical High $72.44 | Professional | 54 · Surgery only | $44.67 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $13.49 Typical High $14.45 | Professional | 55 · Aftercare only | $8.91 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.12 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.89 | $9.12 | $9.55 |
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
$195
WI $282KY $77.62
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.