How much rates vary
Facilitymedian $234 · 10th to 90th $68 to $513Professionalmedian $112 · 10th to 90th $52 to $257
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 $67.61 Median $138.04 Typical High $263.03 | Facility | None | $67.61 | $138.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $138.04 | Professional | None | $67.61 | $89.13 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $446.68 Typical High $954.99 | Facility | None | $173.78 | $446.68 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $154.88 Typical High $302.00 | Professional | None | $69.18 | $154.88 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,258.93 | Facility | None | $288.40 | $426.58 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $269.15 | Professional | None | $42.66 | $89.13 | $269.15 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $977.24 | Facility | None | $251.19 | $416.87 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $245.47 | Professional | None | $42.66 | $87.10 | $245.47 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $295.12 | Facility | None | $97.72 | $141.25 | $295.12 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $776.25 | Professional | None | $104.71 | $138.04 | $776.25 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $38.02 Median $102.33 Typical High $190.55 | Professional | None | $38.02 | $102.33 | $190.55 |
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 $33.88 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $33.88 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $13.49 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $20.89 Typical High $20.89 | Facility | 55 · Aftercare only | $10.23 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $6.76 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $44.67 Typical High $69.18 | Professional | 52 · Reduced service | $33.88 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.78 Typical High $27.54 | Professional | 53 · Discontinued | $13.49 | $17.78 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.18 Typical High $20.89 | Professional | 55 · Aftercare only | $10.23 | $13.18 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.91 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.76 | $8.91 | $13.80 |
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
$112
AK $178MD $64.57
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.