How much rates vary
Facilitymedian $229 · 10th to 90th $74 to $1,622Professionalmedian $229 · 10th to 90th $76 to $741
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 $74.13 Median $229.09 Typical High $229.09 | Facility | None | $74.13 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $229.09 | Professional | None | $69.18 | $169.82 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $239.88 Typical High $2,754.23 | Facility | None | $114.82 | $239.88 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $281.84 Typical High $501.19 | Professional | None | $85.11 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $2,041.74 | Facility | None | $446.68 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $218.78 Typical High $660.69 | Professional | None | $83.18 | $218.78 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,621.81 | Facility | None | $426.58 | $676.08 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $660.69 | Professional | None | $125.89 | $281.84 | $660.69 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $213.80 Typical High $389.05 | Facility | None | $91.20 | $213.80 | $389.05 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $741.31 Typical High $1,230.27 | Professional | None | $208.93 | $741.31 | $1,230.27 |
United Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $58.88 | Facility | None | $53.70 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $562.34 | Professional | None | $75.86 | $204.17 | $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 $37.15 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $37.15 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $14.79 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $54.95 Median $169.82 Typical High $169.82 | Facility | 54 · Surgery only | $54.95 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $33.88 Typical High $33.88 | Facility | 55 · Aftercare only | $10.96 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $7.41 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $34.67 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $34.67 Typical High $45.71 | Professional | 53 · Discontinued | $13.80 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $131.83 Typical High $169.82 | Professional | 54 · Surgery only | $52.48 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $26.30 Typical High $33.88 | Professional | 55 · Aftercare only | $10.47 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $17.38 Typical High $22.91 | Professional | 56 · Pre-op care only | $6.92 | $17.38 | $22.91 |
Where Minnesota sits
The same service costs 2.9 times more in Washington 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· 6th of 51
$229
WA $288KY $100
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.