How much rates vary
Facilitymedian $263 · 10th to 90th $91 to $1,000Professionalmedian $229 · 10th to 90th $129 to $398
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $1,479.11 | Facility | None | $407.38 | $758.58 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $346.74 | Professional | None | $169.82 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $489.78 | Facility | None | $165.96 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $467.74 | Professional | None | $190.55 | $295.12 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $416.87 | Facility | None | $147.91 | $239.88 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $407.38 | Professional | None | $165.96 | $269.15 | $407.38 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,288.25 | Facility | None | $125.89 | $323.59 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $794.33 | Professional | None | $131.83 | $245.47 | $794.33 |
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 $128.82 Median $218.78 Typical High $407.38 | Professional | None | $128.82 | $218.78 | $407.38 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 54 · Surgery only | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | 52 · Reduced service | $45.71 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $18.20 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | 54 · Surgery only | $67.61 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $12.30 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $12.30 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 4th of 51
$240
AK $355TX $110
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.