How much rates vary
Facilitymedian $407 · 10th to 90th $105 to $2,042Professionalmedian $245 · 10th to 90th $132 to $437
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $2,630.27 | Facility | None | $602.56 | $1,230.27 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $407.38 | Professional | None | $190.55 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $512.86 | Facility | None | $169.82 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $478.63 | Professional | None | $194.98 | $309.03 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | None | $173.78 | $275.42 | $426.58 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $776.25 Typical High $2,570.40 | Facility | None | $173.78 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $794.33 | Professional | None | $128.82 | $245.47 | $794.33 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $457.09 | Professional | None | $123.03 | $218.78 | $457.09 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 54 · Surgery only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 54 · Surgery only | $77.62 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $11.48 |
Where Minnesota sits
The same service costs 4.4 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· 10th of 51
$257
AK $513NY $117
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.