How much rates vary
Facilitymedian $1,905 · 10th to 90th $525 to $22,909Professionalmedian $1,202 · 10th to 90th $661 to $2,239
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None | $524.81 | $524.81 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15,135.61 Median $28,183.83 Typical High $54,954.09 | Facility | None | $15,135.61 | $28,183.83 | $54,954.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Professional | None | $870.96 | $1,202.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,570.40 | Facility | None | $851.14 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,548.82 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,137.96 | Facility | None | $758.58 | $1,230.27 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,137.96 | Professional | None | $870.96 | $1,380.38 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $5,011.87 Typical High $12,589.25 | Facility | None | $870.96 | $5,011.87 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $4,073.80 | Professional | None | $660.69 | $1,230.27 | $4,073.80 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,344.23 | Professional | None | $645.65 | $1,122.02 | $2,344.23 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 52 · Reduced service | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 54 · Surgery only | $389.05 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $57.54 |
Where Minnesota sits
The same service costs 9.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $17,480MT $1,783
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.