How much rates vary
Facilitymedian $37 · 10th to 90th $11 to $851Professionalmedian $30 · 10th to 90th $15 to $54
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 $10.72 Median $13.18 Typical High $13.18 | Facility | None | $10.72 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $16.60 | Professional | None | $10.72 | $13.18 | $16.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $2,041.74 | Facility | None | $269.15 | $724.44 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $18.62 Median $30.20 Typical High $47.86 | Professional | None | $18.62 | $30.20 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $69.18 | Facility | None | $22.91 | $35.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $60.26 | Professional | None | $23.44 | $38.02 | $60.26 |
Health Partners Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $57.54 | Facility | None | $20.42 | $33.88 | $57.54 |
Health Partners Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $56.23 | Professional | None | $20.42 | $33.88 | $56.23 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $177.83 Typical High $1,230.27 | Facility | None | $19.95 | $177.83 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $295.12 | Professional | None | $19.50 | $35.48 | $295.12 |
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 $15.14 Median $28.84 Typical High $56.23 | Professional | None | $15.14 | $28.84 | $56.23 |
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 $5.37 Median $6.61 Typical High $6.61 | Facility | 52 · Reduced service | $5.37 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.14 Median $2.69 Typical High $2.69 | Facility | 53 · Discontinued | $2.14 | $2.69 | $2.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $7.94 Median $10.00 Typical High $10.00 | Facility | 54 · Surgery only | $7.94 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.62 Median $2.00 Typical High $2.00 | Facility | 55 · Aftercare only | $1.62 | $2.00 | $2.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.32 Typical High $1.32 | Facility | 56 · Pre-op care only | $1.07 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.61 Typical High $7.41 | Professional | 52 · Reduced service | $5.37 | $6.61 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.69 Typical High $2.95 | Professional | 53 · Discontinued | $2.14 | $2.69 | $2.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.94 Median $10.00 Typical High $10.96 | Professional | 54 · Surgery only | $7.94 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $2.00 Typical High $2.19 | Professional | 55 · Aftercare only | $1.62 | $2.00 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.32 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.07 | $1.32 | $1.48 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in New York. 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· 5th of 51
$30.20
AK $48.98NY $13.80
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.