How much rates vary
Facilitymedian $794 · 10th to 90th $151 to $2,630Professionalmedian $275 · 10th to 90th $145 to $501
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 $102.33 Median $891.25 Typical High $3,388.44 | Facility | None | $102.33 | $891.25 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $151.36 | Professional | None | $102.33 | $138.04 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $1,737.80 Typical High $3,090.30 | Facility | None | $933.25 | $1,737.80 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $457.09 | Professional | None | $173.78 | $288.40 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $741.31 | Facility | None | $251.19 | $389.05 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $537.03 | Professional | None | $169.82 | $323.59 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $616.60 | Facility | None | $218.78 | $354.81 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $512.86 | Professional | None | $169.82 | $295.12 | $512.86 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $707.95 Typical High $2,454.71 | Facility | None | $204.17 | $707.95 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $1,122.02 | Professional | None | $165.96 | $331.13 | $1,122.02 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $467.74 | Professional | None | $123.03 | $229.09 | $467.74 |
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 $51.29 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $51.29 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $20.42 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $75.86 Median $112.20 Typical High $112.20 | Facility | 54 · Surgery only | $75.86 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.14 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $15.14 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $10.23 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $51.29 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $20.42 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $104.71 Typical High $112.20 | Professional | 54 · Surgery only | $75.86 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $20.89 Typical High $22.39 | Professional | 55 · Aftercare only | $15.14 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.80 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.23 | $13.80 | $15.14 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$295
AK $437FL $123
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.