How much rates vary
Facilitymedian $200 · 10th to 90th $91 to $759Professionalmedian $117 · 10th to 90th $89 to $263
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | None | $75.86 | $91.20 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $524.81 Typical High $954.99 | Facility | None | $58.88 | $524.81 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $263.03 | Professional | None | $107.15 | $158.49 | $263.03 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $234.42 Typical High $389.05 | Professional | 50 · Both sides | $162.18 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $398.11 | Facility | None | $131.83 | $204.17 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $112.20 | Professional | None | $79.43 | $89.13 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $331.13 | Facility | None | $117.49 | $190.55 | $331.13 |
Health Partners Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | None | $61.66 | $89.13 | $89.13 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $1,445.44 | Facility | None | $125.89 | $309.03 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $524.81 | Professional | None | $93.33 | $169.82 | $524.81 |
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 $87.10 Median $154.88 Typical High $316.23 | Professional | None | $87.10 | $154.88 | $316.23 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 54 · Surgery only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $17.38 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | 54 · Surgery only | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.71 | $9.12 | $9.12 |
Where Minnesota sits
The same service costs 16.6 times more in Alabama than in Delaware. 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.
Physician feeFacility fee
AL $3,321DE $200
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.