How much rates vary
Facilitymedian $589 · 10th to 90th $251 to $1,549Professionalmedian $776 · 10th to 90th $407 to $1,288
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 $251.19 Median $338.84 Typical High $338.84 | Facility | None | $251.19 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $389.05 | Professional | None | $251.19 | $338.84 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $1,071.52 Typical High $2,238.72 | Facility | None | $407.38 | $1,071.52 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,122.02 | Professional | None | $501.19 | $776.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,819.70 | Facility | None | $616.60 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $977.24 Typical High $1,621.81 | Professional | None | $588.84 | $977.24 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,548.82 | Facility | None | $549.54 | $912.01 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $870.96 Typical High $1,479.11 | Professional | None | $537.03 | $870.96 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $501.19 Typical High $1,230.27 | Facility | None | $125.89 | $501.19 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,023.29 Typical High $2,187.76 | Professional | None | $489.78 | $1,023.29 | $2,187.76 |
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 $380.19 Median $741.31 Typical High $1,445.44 | Professional | None | $380.19 | $741.31 | $1,445.44 |
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 $125.89 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $125.89 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $50.12 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $251.19 Typical High $251.19 | Facility | 54 · Surgery only | $190.55 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $38.02 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.12 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $25.12 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $251.19 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.12 | $33.88 | $38.90 |
Where Minnesota sits
The same service costs 2.9 times more in Alaska 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
$776
AK $977KY $339
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.