How much rates vary
Facilitymedian $490 · 10th to 90th $110 to $7,244Professionalmedian $275 · 10th to 90th $151 to $479
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $151.36 | Professional | None | $109.65 | $109.65 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $13,803.84 | Facility | None | $4,168.69 | $6,918.31 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $416.87 | Professional | None | $204.17 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $602.56 | Facility | None | $204.17 | $316.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $562.34 | Professional | None | $229.09 | $363.08 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $501.19 | Facility | None | $177.83 | $288.40 | $501.19 |
Health Partners Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $501.19 | Professional | None | $204.17 | $323.59 | $501.19 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $2,754.23 Typical High $7,585.78 | Facility | None | $213.80 | $2,754.23 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $1,071.52 | Professional | None | $162.18 | $288.40 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,995.26 | $3,090.30 | $8,317.64 |
United Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $478.63 | Professional | None | $151.36 | $257.04 | $478.63 |
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 $54.95 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 54 · Surgery only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | 54 · Surgery only | $83.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $22.39 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $14.79 |
Where Minnesota sits
The same service costs 10.7 times more in Oklahoma 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· 11th of 51
$288
OK $1,413NY $132
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.