How much rates vary
Facilitymedian $437 · 10th to 90th $123 to $1,778Professionalmedian $331 · 10th to 90th $174 to $603
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 $123.03 Median $173.78 Typical High $173.78 | Facility | None | $123.03 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $173.78 | Professional | None | $123.03 | $169.82 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $2,630.27 | Facility | None | $323.59 | $1,148.15 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $549.54 | Professional | None | $208.93 | $338.84 | $549.54 |
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 $208.93 Median $389.05 Typical High $630.96 | Professional | None | $208.93 | $389.05 | $630.96 |
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 $204.17 Median $354.81 Typical High $588.84 | Professional | None | $204.17 | $354.81 | $588.84 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $645.65 Typical High $2,344.23 | Facility | None | $223.87 | $645.65 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $1,348.96 | Professional | None | $204.17 | $398.11 | $1,348.96 |
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 $154.88 Median $281.84 Typical High $562.34 | Professional | None | $154.88 | $281.84 | $562.34 |
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 $61.66 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $61.66 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $24.55 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $93.33 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $93.33 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $18.62 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $12.30 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $123.03 Typical High $131.83 | Professional | 54 · Surgery only | $93.33 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $24.55 Typical High $26.30 | Professional | 55 · Aftercare only | $18.62 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.30 | $16.22 | $17.38 |
Where Minnesota sits
The same service costs 3.6 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· 4th of 51
$339
AK $537KY $148
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.