How much rates vary
Facilitymedian $589 · 10th to 90th $69 to $4,365Professionalmedian $245 · 10th to 90th $117 to $513
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 $69.18 Median $141.25 Typical High $4,365.16 | Facility | None | $69.18 | $141.25 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $173.78 | Professional | None | $69.18 | $138.04 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $3,162.28 Typical High $6,456.54 | Facility | None | $1,174.90 | $3,162.28 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $467.74 | Professional | None | $123.03 | $257.04 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $741.31 | Facility | None | $251.19 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $645.65 | Professional | None | $162.18 | $316.23 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $630.96 | Facility | None | $223.87 | $363.08 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $562.34 | Professional | None | $147.91 | $288.40 | $562.34 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $676.08 Typical High $2,570.40 | Facility | None | $128.82 | $676.08 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $380.19 Typical High $812.83 | Professional | None | $165.96 | $380.19 | $812.83 |
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 $102.33 Median $229.09 Typical High $512.86 | Professional | None | $102.33 | $229.09 | $512.86 |
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 $34.67 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $34.67 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $13.80 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $51.29 Median $107.15 Typical High $107.15 | Facility | 54 · Surgery only | $51.29 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $10.23 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $6.92 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $34.67 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $13.80 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $102.33 Typical High $107.15 | Professional | 54 · Surgery only | $51.29 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $20.89 Typical High $21.38 | Professional | 55 · Aftercare only | $10.23 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $13.80 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.92 | $13.80 | $14.13 |
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
$269
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.