How much rates vary
Facilitymedian $603 · 10th to 90th $110 to $3,548Professionalmedian $295 · 10th to 90th $155 to $525
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 $154.88 Typical High $3,715.35 | Facility | None | $109.65 | $154.88 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $162.18 | Professional | None | $109.65 | $151.36 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $912.01 Median $1,737.80 Typical High $3,019.95 | Facility | None | $912.01 | $1,737.80 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $489.78 | Professional | None | $186.21 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $776.25 | Facility | None | $257.04 | $398.11 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $562.34 | Professional | None | $181.97 | $346.74 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $524.81 | Professional | None | $181.97 | $316.23 | $524.81 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $676.08 Typical High $2,187.76 | Facility | None | $199.53 | $676.08 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $1,174.90 | Professional | None | $173.78 | $346.74 | $1,174.90 |
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 $131.83 Median $239.88 Typical High $489.78 | Professional | None | $131.83 | $239.88 | $489.78 |
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 $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $54.95 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $21.88 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $81.28 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $16.22 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $10.96 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $109.65 Typical High $117.49 | Professional | 54 · Surgery only | $81.28 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $21.88 Typical High $23.44 | Professional | 55 · Aftercare only | $16.22 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.45 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.96 | $14.45 | $15.49 |
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
$302
AK $468FL $132
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.