How much rates vary
Facilitymedian $115 · 10th to 90th $56 to $1,047Professionalmedian $93 · 10th to 90th $45 to $214
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 $56.23 Median $114.82 Typical High $114.82 | Facility | None | $56.23 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $114.82 | Professional | None | $56.23 | $74.13 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $1,548.82 | Facility | None | $446.68 | $776.25 | $1,548.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $58.88 Median $131.83 Typical High $251.19 | Professional | None | $58.88 | $131.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $1,047.13 | Facility | None | $239.88 | $354.81 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $74.13 Typical High $218.78 | Professional | None | $35.48 | $74.13 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $812.83 | Facility | None | $208.93 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $204.17 | Professional | None | $35.48 | $72.44 | $204.17 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $251.19 | Facility | None | $79.43 | $123.03 | $251.19 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $676.08 | Professional | None | $91.20 | $120.23 | $676.08 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,230.27 | $1,584.89 |
United Setting Professional Modifier None Typical Low $38.02 Median $89.13 Typical High $162.18 | Professional | None | $38.02 | $89.13 | $162.18 |
9 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 $28.18 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $28.18 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $11.22 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $8.51 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.62 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $5.62 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $37.15 Typical High $57.54 | Professional | 52 · Reduced service | $28.18 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.79 Typical High $23.44 | Professional | 53 · Discontinued | $11.22 | $14.79 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $11.22 Typical High $17.38 | Professional | 55 · Aftercare only | $8.51 | $11.22 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.41 Typical High $11.48 | Professional | 56 · Pre-op care only | $5.62 | $7.41 | $11.48 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 8th of 51
$93.33
AK $155MD $54.95
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.