How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,259 to $19,055Professionalmedian $776 · 10th to 90th $490 to $7,762
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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $7,943.28 | Professional | None | $3,019.95 | $4,073.80 | $7,943.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $18,197.01 Typical High $29,512.09 | Facility | None | $3,715.35 | $18,197.01 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $4,365.16 | Facility | None | $1,023.29 | $1,548.82 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $2,951.21 | Professional | None | $501.19 | $630.96 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $3,467.37 | Facility | None | $933.25 | $1,479.11 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | None | $489.78 | $489.78 | $512.86 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $6,025.60 Typical High $10,964.78 | Facility | None | $794.33 | $6,025.60 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $2,089.30 Typical High $19,952.62 | Professional | None | $630.96 | $2,089.30 | $19,952.62 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $9,772.37 Typical High $11,748.98 | Facility | None | $5,754.40 | $9,772.37 | $11,748.98 |
United Setting Professional Modifier None Typical Low $630.96 Median $2,089.30 Typical High $9,332.54 | Professional | None | $630.96 | $2,089.30 | $9,332.54 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | 53 · Discontinued | $812.83 | $812.83 | $812.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | 54 · Surgery only | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 55 · Aftercare only | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 56 · Pre-op care only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,513.56 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,513.56 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $602.56 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,238.72 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $457.09 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $302.00 | $407.38 | $407.38 |
Where Minnesota sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 45th of 51
$1,778
AK $8,511MO $603
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.