How much rates vary
Facilitymedian $170 · 10th to 90th $41 to $724Professionalmedian $129 · 10th to 90th $69 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 $69.18 Typical High $69.18 | Facility | None | $40.74 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $83.18 | Professional | None | $40.74 | $69.18 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $1,071.52 | Facility | None | $269.15 | $478.63 | $1,071.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $72.44 Median $125.89 Typical High $234.42 | Professional | None | $72.44 | $125.89 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $363.08 | Facility | None | $120.23 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $309.03 | Professional | None | $97.72 | $165.96 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $302.00 | Facility | None | $107.15 | $173.78 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $295.12 | Professional | None | $89.13 | $151.36 | $295.12 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $199.53 Typical High $1,148.15 | Facility | None | $77.62 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $177.83 Typical High $380.19 | Professional | None | $91.20 | $177.83 | $380.19 |
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 $61.66 Median $128.82 Typical High $245.47 | Professional | None | $61.66 | $128.82 | $245.47 |
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 $34.67 Typical High $34.67 | Facility | 52 · Reduced service | $20.42 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $8.13 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.90 Median $51.29 Typical High $51.29 | Facility | 54 · Surgery only | $30.90 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $10.23 Typical High $10.23 | Facility | 55 · Aftercare only | $6.17 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.92 Typical High $6.92 | Facility | 56 · Pre-op care only | $4.07 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $20.42 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $8.13 | $13.18 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $48.98 Typical High $51.29 | Professional | 54 · Surgery only | $30.90 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.77 Typical High $10.23 | Professional | 55 · Aftercare only | $6.17 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.61 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.07 | $6.61 | $6.92 |
Where Minnesota sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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
$135
WI $200DC $64.57
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.