How much rates vary
Facilitymedian $110 · 10th to 90th $24 to $1,000Professionalmedian $62 · 10th to 90th $31 to $112
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 $23.99 Median $31.62 Typical High $812.83 | Facility | None | $23.99 | $31.62 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | None | $23.99 | $31.62 | $31.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $2,238.72 | Facility | None | $398.11 | $1,071.52 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $100.00 | Professional | None | $36.31 | $64.57 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $158.49 | Facility | None | $54.95 | $85.11 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $120.23 | Professional | None | $39.81 | $70.79 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $131.83 | Facility | None | $46.77 | $77.62 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $107.15 | Professional | None | $39.81 | $69.18 | $107.15 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $199.53 Typical High $1,148.15 | Facility | None | $41.69 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $79.43 Typical High $831.76 | Professional | None | $36.31 | $79.43 | $831.76 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $28.84 Median $56.23 Typical High $109.65 | Professional | None | $28.84 | $56.23 | $109.65 |
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 $12.02 Median $15.85 Typical High $15.85 | Facility | 52 · Reduced service | $12.02 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $6.31 Typical High $6.31 | Facility | 53 · Discontinued | $4.79 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $17.78 Median $23.99 Typical High $23.99 | Facility | 54 · Surgery only | $17.78 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.55 Median $4.79 Typical High $4.79 | Facility | 55 · Aftercare only | $3.55 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.16 Typical High $3.16 | Facility | 56 · Pre-op care only | $2.40 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $12.02 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $4.79 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $22.39 Typical High $23.99 | Professional | 54 · Surgery only | $17.78 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $4.47 Typical High $4.79 | Professional | 55 · Aftercare only | $3.55 | $4.47 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.40 | $3.02 | $3.16 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 3rd of 51
$64.57
AK $100MD $28.84
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.