How much rates vary
Facilitymedian $309 · 10th to 90th $138 to $2,138Professionalmedian $468 · 10th to 90th $214 to $1,175
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 $138.04 Median $309.03 Typical High $309.03 | Facility | None | $138.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $371.54 | Professional | None | $138.04 | $281.84 | $371.54 |
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 $239.88 Median $501.19 Typical High $891.25 | Professional | None | $239.88 | $501.19 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $3,019.95 | Facility | None | $707.95 | $1,071.52 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $1,047.13 | Professional | None | $194.98 | $446.68 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $2,398.83 | Facility | None | $616.60 | $1,023.29 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $1,023.29 | Professional | None | $263.03 | $512.86 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $537.03 Typical High $2,398.83 | Facility | None | $239.88 | $537.03 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $1,174.90 Typical High $2,344.23 | Professional | None | $416.87 | $1,174.90 | $2,344.23 |
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 $186.21 Median $436.52 Typical High $1,047.13 | Professional | None | $186.21 | $436.52 | $1,047.13 |
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 $69.18 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $69.18 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $28.18 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $104.71 Median $229.09 Typical High $229.09 | Facility | 54 · Surgery only | $104.71 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.89 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $20.89 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $13.80 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $69.18 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $28.18 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $213.80 Typical High $269.15 | Professional | 54 · Surgery only | $104.71 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $42.66 Typical High $53.70 | Professional | 55 · Aftercare only | $20.89 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $28.18 Typical High $36.31 | Professional | 56 · Pre-op care only | $13.80 | $28.18 | $36.31 |
Where Minnesota sits
The same service costs 3.5 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· 6th of 51
$468
AK $661VA $186
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.