How much rates vary
Facilitymedian $200 · 10th to 90th $45 to $776Professionalmedian $158 · 10th to 90th $66 to $324
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 $44.67 Median $95.50 Typical High $95.50 | Facility | None | $44.67 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $87.10 Typical High $102.33 | Professional | None | $44.67 | $87.10 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $870.96 | Facility | None | $114.82 | $371.54 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $67.61 Median $158.49 Typical High $275.42 | Professional | None | $67.61 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $467.74 | Facility | None | $158.49 | $245.47 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $407.38 | Professional | None | $100.00 | $199.53 | $407.38 |
Health Partners Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $398.11 | Facility | None | $141.25 | $229.09 | $398.11 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $354.81 | Professional | None | $89.13 | $173.78 | $354.81 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $229.09 Typical High $1,230.27 | Facility | None | $79.43 | $229.09 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $257.04 Typical High $575.44 | Professional | None | $120.23 | $257.04 | $575.44 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $64.57 Median $158.49 Typical High $346.74 | Professional | None | $64.57 | $158.49 | $346.74 |
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 $22.39 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $22.39 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $8.91 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $33.88 Median $70.79 Typical High $70.79 | Facility | 54 · Surgery only | $33.88 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.76 Median $14.13 Typical High $14.13 | Facility | 55 · Aftercare only | $6.76 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.47 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $4.47 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $22.39 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $8.91 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $66.07 Typical High $70.79 | Professional | 54 · Surgery only | $33.88 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $13.18 Typical High $14.13 | Professional | 55 · Aftercare only | $6.76 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $8.71 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.47 | $8.71 | $9.55 |
Where Minnesota sits
The same service costs 3.3 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· 3rd of 51
$158
AK $204KY $61.66
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.