How much rates vary
Facilitymedian $170 · 10th to 90th $72 to $537Professionalmedian $200 · 10th to 90th $76 to $550
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 $72.44 Median $169.82 Typical High $169.82 | Facility | None | $72.44 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $186.21 | Professional | None | $67.61 | $134.90 | $186.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $288.40 | Facility | None | $107.15 | $144.54 | $288.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $380.19 | Professional | None | $85.11 | $194.98 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $1,513.56 | Facility | None | $354.81 | $524.81 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $208.93 Typical High $501.19 | Professional | None | $83.18 | $208.93 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $1,202.26 | Facility | None | $309.03 | $512.86 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $501.19 | Professional | None | $123.03 | $251.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $295.12 | Facility | None | $91.20 | $154.88 | $295.12 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $549.54 Typical High $933.25 | Professional | None | $169.82 | $549.54 | $933.25 |
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 $74.13 Median $177.83 Typical High $426.58 | Professional | None | $74.13 | $177.83 | $426.58 |
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 $36.31 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $36.31 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $14.45 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $53.70 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $10.72 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $7.24 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $33.88 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $13.49 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $51.29 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $10.23 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $13.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.76 | $13.49 | $16.98 |
Where Minnesota sits
The same service costs 3.5 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· 4th of 51
$191
AK $263KY $75.86
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.