How much rates vary
Facilitymedian $316 · 10th to 90th $151 to $794Professionalmedian $263 · 10th to 90th $151 to $501
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $208.93 | Professional | None | $138.04 | $151.36 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $389.05 Typical High $758.58 | Facility | None | $204.17 | $389.05 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $446.68 | Professional | None | $190.55 | $269.15 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $676.08 | Facility | None | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $575.44 | Professional | None | $229.09 | $316.23 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $562.34 | Facility | None | $204.17 | $323.59 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $524.81 | Professional | None | $229.09 | $302.00 | $524.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,445.44 | Facility | None | $125.89 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $1,621.81 | Professional | None | $162.18 | $263.03 | $1,621.81 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $446.68 | Professional | None | $147.91 | $245.47 | $446.68 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 54 · Surgery only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | 54 · Surgery only | $109.65 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $15.14 | $15.14 |
Where Minnesota sits
The same service costs 3.2 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
$282
AK $347KY $107
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.