How much rates vary
Facilitymedian $759 · 10th to 90th $224 to $3,631Professionalmedian $575 · 10th to 90th $316 to $1,000
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | None | $223.87 | $223.87 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,513.56 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,513.56 | $4,677.35 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $870.96 | Professional | None | $416.87 | $562.34 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,230.27 | Facility | None | $416.87 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,174.90 | Professional | None | $467.74 | $741.31 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,023.29 | Facility | None | $363.08 | $588.84 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $1,023.29 | Professional | None | $416.87 | $660.69 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,023.29 Typical High $3,019.95 | Facility | None | $398.11 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $2,691.53 | Professional | None | $331.13 | $616.60 | $2,691.53 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,023.29 | Professional | None | $316.23 | $549.54 | $1,023.29 |
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 $112.20 Median $112.20 Typical High $112.20 | Facility | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 56 · Pre-op care only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | 52 · Reduced service | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $44.67 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | 54 · Surgery only | $169.82 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $30.90 |
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
$603
AK $871TX $275
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.