How much rates vary
Facilitymedian $363 · 10th to 90th $110 to $3,631Professionalmedian $263 · 10th to 90th $145 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 $128.82 | Professional | None | $109.65 | $109.65 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $5,128.61 Typical High $12,302.69 | Facility | None | $309.03 | $5,128.61 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $446.68 | Professional | None | $194.98 | $263.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $537.03 | Facility | None | $181.97 | $281.84 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $512.86 | Professional | None | $213.80 | $331.13 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $457.09 | Facility | None | $162.18 | $263.03 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $446.68 | Professional | None | $186.21 | $295.12 | $446.68 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $1,023.29 Typical High $3,019.95 | Facility | None | $186.21 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $891.25 | Professional | None | $144.54 | $275.42 | $891.25 |
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 $144.54 Median $245.47 Typical High $501.19 | Professional | None | $144.54 | $245.47 | $501.19 |
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 $64.57 | Professional | 52 · Reduced service | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 54 · Surgery only | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $12.88 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 6th of 51
$269
AK $513UT $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.