How much rates vary
Facilitymedian $1,318 · 10th to 90th $513 to $4,571Professionalmedian $1,175 · 10th to 90th $513 to $2,138
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,570.40 Median $4,570.88 Typical High $7,585.78 | Facility | None | $2,570.40 | $4,570.88 | $7,585.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,949.84 | Professional | None | $933.25 | $1,230.27 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,570.40 | Facility | None | $851.14 | $1,318.26 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,187.76 | Professional | None | $812.83 | $1,412.54 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,137.96 | Facility | None | $758.58 | $1,230.27 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,089.30 | Professional | None | $724.44 | $1,288.25 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $3,981.07 | Facility | None | $758.58 | $1,288.25 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,122.02 Typical High $14,125.38 | Professional | None | $588.84 | $1,122.02 | $14,125.38 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $2,137.96 | Professional | None | $549.54 | $977.24 | $2,137.96 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 52 · Reduced service | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 54 · Surgery only | $389.05 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $58.88 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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
$1,175
AK $2,344KY $525
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.