How much rates vary
Facilitymedian $117 · 10th to 90th $36 to $575Professionalmedian $72 · 10th to 90th $36 to $141
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 $36.31 Median $58.88 Typical High $58.88 | Facility | None | $36.31 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $58.88 | Professional | None | $31.62 | $43.65 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $22.39 Median $407.38 Typical High $1,023.29 | Facility | None | $22.39 | $407.38 | $1,023.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $141.25 | Professional | None | $42.66 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $251.19 | Facility | None | $85.11 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $72.44 | Professional | None | $35.48 | $46.77 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $213.80 | Facility | None | $75.86 | $123.03 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $57.54 | Professional | None | $34.67 | $48.98 | $57.54 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $177.83 Typical High $1,000.00 | Facility | None | $60.26 | $177.83 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $117.49 Typical High $239.88 | Professional | None | $61.66 | $117.49 | $239.88 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $42.66 Median $91.20 Typical High $165.96 | Professional | None | $42.66 | $91.20 | $165.96 |
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 $18.20 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $18.20 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $7.24 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $26.92 Median $44.67 Typical High $44.67 | Facility | 54 · Surgery only | $26.92 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $5.37 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.89 Typical High $5.89 | Facility | 56 · Pre-op care only | $3.63 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $20.42 Typical High $29.51 | Professional | 52 · Reduced service | $18.20 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.13 Typical High $11.75 | Professional | 53 · Discontinued | $7.24 | $8.13 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | 54 · Surgery only | $26.92 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.17 Typical High $8.91 | Professional | 55 · Aftercare only | $5.37 | $6.17 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.07 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.63 | $4.07 | $5.89 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in California. 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· 7th of 51
$74.13
AK $129CA $46.77
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.