How much rates vary
Facilitymedian $513 · 10th to 90th $204 to $1,349Professionalmedian $437 · 10th to 90th $204 to $933
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 $204.17 Median $363.08 Typical High $363.08 | Facility | None | $204.17 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $363.08 | Professional | None | $204.17 | $275.42 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $1,513.56 | Facility | None | $346.74 | $691.83 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $851.14 | Professional | None | $245.47 | $489.78 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,548.82 | Facility | None | $524.81 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $436.52 | Professional | None | $199.53 | $346.74 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,288.25 | Facility | None | $467.74 | $741.31 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $346.74 | Professional | None | $199.53 | $309.03 | $346.74 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $407.38 Typical High $1,230.27 | Facility | None | $128.82 | $407.38 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,318.26 Typical High $2,238.72 | Professional | None | $588.84 | $1,318.26 | $2,238.72 |
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 $269.15 Median $676.08 Typical High $1,862.09 | Professional | None | $269.15 | $676.08 | $1,862.09 |
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 $102.33 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $102.33 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $40.74 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $154.88 Median $269.15 Typical High $269.15 | Facility | 54 · Surgery only | $154.88 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $30.90 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.42 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $20.42 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | 52 · Reduced service | $102.33 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $40.74 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $204.17 Typical High $269.15 | Professional | 54 · Surgery only | $154.88 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $30.90 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.42 | $27.54 | $36.31 |
Where Minnesota sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 11th of 51
$447
WI $813UT $288
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.