How much rates vary
Facilitymedian $513 · 10th to 90th $110 to $2,399Professionalmedian $331 · 10th to 90th $166 to $646
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 $109.65 Median $165.96 Typical High $2,398.83 | Facility | None | $109.65 | $165.96 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $199.53 | Professional | None | $109.65 | $162.18 | $199.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $3,801.89 | Facility | None | $1,148.15 | $2,089.30 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $562.34 | Professional | None | $194.98 | $331.13 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $851.14 | Facility | None | $288.40 | $446.68 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $758.58 | Professional | None | $257.04 | $436.52 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $691.83 | Professional | None | $223.87 | $389.05 | $691.83 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $2,570.40 | Facility | None | $204.17 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $436.52 Typical High $933.25 | Professional | None | $199.53 | $436.52 | $933.25 |
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 $158.49 Median $295.12 Typical High $602.56 | Professional | None | $158.49 | $295.12 | $602.56 |
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 $54.95 Median $83.18 Typical High $83.18 | Facility | 52 · Reduced service | $54.95 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $21.88 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $123.03 Typical High $123.03 | Facility | 54 · Surgery only | $83.18 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $24.55 Typical High $24.55 | Facility | 55 · Aftercare only | $16.60 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $16.60 Typical High $16.60 | Facility | 56 · Pre-op care only | $10.96 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $54.95 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $21.88 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $117.49 Typical High $123.03 | Professional | 54 · Surgery only | $83.18 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $23.44 Typical High $24.55 | Professional | 55 · Aftercare only | $16.60 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.85 Typical High $16.60 | Professional | 56 · Pre-op care only | $10.96 | $15.85 | $16.60 |
Where Minnesota sits
The same service costs 3.7 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
$347
WI $501KY $135
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.