How much rates vary
Facilitymedian $708 · 10th to 90th $490 to $1,413Professionalmedian $513 · 10th to 90th $407 to $661
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | None | $512.86 | $512.86 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $1,000.00 | Facility | None | $489.78 | $741.31 | $1,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $512.86 | Professional | None | $407.38 | $457.09 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $1,862.09 | Facility | None | $676.08 | $1,380.38 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $660.69 | Professional | None | $537.03 | $575.44 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $1,949.84 | Facility | None | $524.81 | $1,288.25 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $933.25 | Facility | None | $501.19 | $741.31 | $933.25 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $912.01 | Professional | None | $501.19 | $501.19 | $912.01 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $954.99 | Professional | None | $512.86 | $512.86 | $954.99 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $102.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $53.70 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 42nd of 51
$513
AZ $813WY $513
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.