How much rates vary
Facilitymedian $708 · 10th to 90th $170 to $3,162Professionalmedian $309 · 10th to 90th $158 to $589
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 $109.65 Median $870.96 Typical High $3,715.35 | Facility | None | $109.65 | $870.96 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $173.78 | Professional | None | $109.65 | $162.18 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $3,090.30 | Facility | None | $933.25 | $1,905.46 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $537.03 | Professional | None | $186.21 | $331.13 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $870.96 | Facility | None | $288.40 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $616.60 | Professional | None | $186.21 | $363.08 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $588.84 | Professional | None | $186.21 | $331.13 | $588.84 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $676.08 Typical High $2,454.71 | Facility | None | $208.93 | $676.08 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $1,318.26 | Professional | None | $190.55 | $380.19 | $1,318.26 |
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 $134.90 Median $257.04 Typical High $549.54 | Professional | None | $134.90 | $257.04 | $549.54 |
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 $54.95 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $54.95 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $21.88 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $83.18 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $16.60 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $10.96 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $123.03 Typical High $131.83 | Professional | 54 · Surgery only | $83.18 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $24.55 Typical High $26.30 | Professional | 55 · Aftercare only | $16.60 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.96 | $16.22 | $17.38 |
Where Minnesota sits
The same service costs 3.3 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· 4th of 51
$324
AK $468VA $141
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.