How much rates vary
Facilitymedian $347 · 10th to 90th $155 to $2,138Professionalmedian $513 · 10th to 90th $224 to $1,288
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 $154.88 Median $346.74 Typical High $346.74 | Facility | None | $154.88 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $457.09 | Professional | None | $154.88 | $316.23 | $457.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $4,073.80 | Facility | None | $1,071.52 | $1,548.82 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $257.04 Median $549.54 Typical High $977.24 | Professional | None | $257.04 | $549.54 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,202.26 Typical High $3,388.44 | Facility | None | $794.33 | $1,202.26 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $489.78 Typical High $1,148.15 | Professional | None | $204.17 | $489.78 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $2,691.53 | Facility | None | $676.08 | $1,122.02 | $2,691.53 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $575.44 Typical High $1,148.15 | Professional | None | $288.40 | $575.44 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $2,398.83 | Facility | None | $251.19 | $562.34 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,288.25 Typical High $2,570.40 | Professional | None | $436.52 | $1,288.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None Typical Low $190.55 Median $446.68 Typical High $1,122.02 | Professional | None | $190.55 | $446.68 | $1,122.02 |
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 $75.86 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $75.86 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $30.90 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $114.82 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $22.91 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $15.49 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $75.86 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $30.90 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $114.82 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $22.91 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $15.49 | $31.62 | $38.02 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Virginia. 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
$513
AK $676VA $204
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.