How much rates vary
Facilitymedian $302 · 10th to 90th $81 to $1,047Professionalmedian $251 · 10th to 90th $123 to $479
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 $81.28 Median $123.03 Typical High $1,047.13 | Facility | None | $81.28 | $123.03 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $151.36 | Professional | None | $81.28 | $120.23 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $213.80 Median $501.19 Typical High $1,148.15 | Facility | None | $213.80 | $501.19 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $416.87 | Professional | None | $147.91 | $251.19 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Facility | None | $218.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $575.44 | Professional | None | $190.55 | $323.59 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $549.54 | Facility | None | $194.98 | $309.03 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $524.81 | Professional | None | $165.96 | $288.40 | $524.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $1,445.44 | Facility | None | $125.89 | $281.84 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $707.95 | Professional | None | $151.36 | $323.59 | $707.95 |
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 $114.82 Median $218.78 Typical High $446.68 | Professional | None | $114.82 | $218.78 | $446.68 |
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 $40.74 Median $61.66 Typical High $61.66 | Facility | 52 · Reduced service | $40.74 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $16.22 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $61.66 Median $93.33 Typical High $93.33 | Facility | 54 · Surgery only | $61.66 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.30 Median $18.62 Typical High $18.62 | Facility | 55 · Aftercare only | $12.30 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.30 Typical High $12.30 | Facility | 56 · Pre-op care only | $8.13 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $40.74 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $16.22 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $87.10 Typical High $93.33 | Professional | 54 · Surgery only | $61.66 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $17.38 Typical High $18.62 | Professional | 55 · Aftercare only | $12.30 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.75 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.13 | $11.75 | $12.30 |
Where Minnesota sits
The same service costs 3.3 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
$251
WI $372KY $112
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.