How much rates vary
Facilitymedian $19 · 10th to 90th $9 to $389Professionalmedian $17 · 10th to 90th $9 to $26
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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | None | $8.13 | $8.51 | $8.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17.38 Median $257.04 Typical High $588.84 | Facility | None | $17.38 | $257.04 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $22.91 | Professional | None | $9.77 | $14.45 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $26.30 Typical High $74.13 | Facility | None | $17.38 | $26.30 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $24.55 | Professional | None | $12.88 | $21.88 | $24.55 |
Health Partners Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $57.54 | Facility | None | $15.49 | $24.55 | $57.54 |
Health Partners Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $22.91 | Professional | None | $11.48 | $21.88 | $22.91 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $17.38 Typical High $407.38 | Facility | None | $10.47 | $17.38 | $407.38 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $19.05 Typical High $380.19 | Professional | None | $9.12 | $19.05 | $380.19 |
United Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Facility | None | $323.59 | $354.81 | $457.09 |
United Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $28.84 | Professional | None | $8.91 | $16.98 | $28.84 |
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 $4.17 Median $4.17 Typical High $4.17 | Facility | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 54 · Surgery only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Facility | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.07 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.62 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 54 · Surgery only | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.23 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.81 | $0.83 | $0.83 |
Where Minnesota sits
The same service costs 2.3 times more in Hawaii than in North Carolina. 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
$16.60
HI $18.20NC $7.76
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.