How much rates vary
Facilitymedian $269 · 10th to 90th $65 to $646Professionalmedian $214 · 10th to 90th $72 to $468
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 $64.57 Median $173.78 Typical High $173.78 | Facility | None | $64.57 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $158.49 Typical High $181.97 | Professional | None | $64.57 | $158.49 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $346.74 Typical High $758.58 | Facility | None | $162.18 | $346.74 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $72.44 Median $213.80 Typical High $416.87 | Professional | None | $72.44 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $758.58 | Facility | None | $245.47 | $398.11 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $245.47 Typical High $549.54 | Professional | None | $102.33 | $245.47 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $97.72 Median $234.42 Typical High $501.19 | Professional | None | $97.72 | $234.42 | $501.19 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $208.93 Typical High $478.63 | Facility | None | $93.33 | $208.93 | $478.63 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $331.13 Typical High $1,230.27 | Professional | None | $204.17 | $331.13 | $1,230.27 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $724.44 | Facility | None | $501.19 | $549.54 | $724.44 |
United Setting Professional Modifier None Typical Low $91.20 Median $218.78 Typical High $501.19 | Professional | None | $91.20 | $218.78 | $501.19 |
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 $32.36 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $32.36 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $12.88 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $48.98 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $48.98 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.77 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $9.77 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $6.46 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $32.36 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $12.88 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $117.49 Typical High $128.82 | Professional | 54 · Surgery only | $48.98 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $23.44 Typical High $25.70 | Professional | 55 · Aftercare only | $9.77 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $6.46 | $15.85 | $17.38 |
Where Minnesota sits
The same service costs 3.5 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· 5th of 51
$219
AK $288MD $83.18
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.