How much rates vary
Facilitymedian $631 · 10th to 90th $282 to $1,995Professionalmedian $708 · 10th to 90th $347 to $1,318
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | None | $338.84 | $338.84 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,584.89 | $2,238.72 | $4,265.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,174.90 | Professional | None | $524.81 | $707.95 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,445.44 | Professional | None | $537.03 | $912.01 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,412.54 | Facility | None | $501.19 | $812.83 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,348.96 | Professional | None | $478.63 | $851.14 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $1,445.44 | Facility | None | $125.89 | $478.63 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $2,630.27 | Professional | None | $407.38 | $741.31 | $2,630.27 |
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 $371.54 Median $676.08 Typical High $1,348.96 | Professional | None | $371.54 | $676.08 | $1,348.96 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 54 · Surgery only | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $36.31 |
Where Minnesota sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 7th of 51
$708
AK $1,445UT $295
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.