How much rates vary
Facilitymedian $257 · 10th to 90th $110 to $631Professionalmedian $148 · 10th to 90th $59 to $219
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | None | $107.15 | $109.65 | $109.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $147.91 Typical High $239.88 | Facility | None | $131.83 | $147.91 | $239.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $151.36 | Professional | None | $120.23 | $134.90 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $1,288.25 | Facility | None | $257.04 | $407.38 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $218.78 | Professional | None | $173.78 | $181.97 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $676.08 | Facility | None | $229.09 | $371.54 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $213.80 | Facility | None | $147.91 | $147.91 | $213.80 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $1,288.25 | Professional | None | $47.86 | $63.10 | $1,288.25 |
United Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $123.03 | Professional | None | $41.69 | $61.66 | $123.03 |
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 $54.95 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 54 · Surgery only | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 54 · Surgery only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $10.96 |
Where Minnesota sits
The same service costs 2.8 times more in Hawaii than in New York. 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· 3rd of 51
$151
HI $162NY $58.88
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.