How much rates vary
Facilitymedian $234 · 10th to 90th $76 to $1,023Professionalmedian $214 · 10th to 90th $110 to $398
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 $75.86 Median $117.49 Typical High $117.49 | Facility | None | $75.86 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $117.49 | Professional | None | $75.86 | $109.65 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $741.31 Median $1,348.96 Typical High $2,511.89 | Facility | None | $741.31 | $1,348.96 | $2,511.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $363.08 | Professional | None | $125.89 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $575.44 | Facility | None | $194.98 | $302.00 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $426.58 | Professional | None | $128.82 | $245.47 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $489.78 | Facility | None | $173.78 | $275.42 | $489.78 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $398.11 | Professional | None | $125.89 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $1,148.15 | Facility | None | $125.89 | $269.15 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $891.25 | Professional | None | $131.83 | $263.03 | $891.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $93.33 Median $177.83 Typical High $371.54 | Professional | None | $93.33 | $177.83 | $371.54 |
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 $38.02 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $38.02 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $15.14 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $56.23 Median $87.10 Typical High $87.10 | Facility | 54 · Surgery only | $56.23 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $11.22 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $11.75 Typical High $11.75 | Facility | 56 · Pre-op care only | $7.59 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $38.02 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $81.28 Typical High $87.10 | Professional | 54 · Surgery only | $56.23 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $16.22 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.96 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.59 | $10.96 | $11.75 |
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
$214
AK $331FL $93.33
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.