How much rates vary
Facilitymedian $447 · 10th to 90th $115 to $2,884Professionalmedian $372 · 10th to 90th $166 to $955
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 $114.82 Median $251.19 Typical High $251.19 | Facility | None | $114.82 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $295.12 | Professional | None | $114.82 | $229.09 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,047.13 | $1,862.09 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $724.44 | Professional | None | $181.97 | $389.05 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $2,454.71 | Facility | None | $537.03 | $851.14 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $363.08 Typical High $851.14 | Professional | None | $154.88 | $363.08 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,949.84 | Facility | None | $501.19 | $831.76 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $416.87 Typical High $831.76 | Professional | None | $213.80 | $416.87 | $831.76 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $2,951.21 | Facility | None | $194.98 | $457.09 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $954.99 Typical High $1,862.09 | Professional | None | $309.03 | $954.99 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $4,265.80 | Facility | None | $1,995.26 | $3,162.28 | $4,265.80 |
United Setting Professional Modifier None Typical Low $138.04 Median $331.13 Typical High $794.33 | Professional | None | $138.04 | $331.13 | $794.33 |
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 $57.54 Median $125.89 Typical High $125.89 | Facility | 52 · Reduced service | $57.54 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $50.12 | Facility | 53 · Discontinued | $22.91 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $85.11 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $85.11 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $16.98 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $25.12 Typical High $25.12 | Facility | 56 · Pre-op care only | $11.48 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $57.54 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $22.91 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $173.78 Typical High $204.17 | Professional | 54 · Surgery only | $85.11 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $34.67 Typical High $40.74 | Professional | 55 · Aftercare only | $16.98 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $22.91 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.48 | $22.91 | $27.54 |
Where Minnesota sits
The same service costs 3.4 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· 5th of 51
$372
AK $513VA $151
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.