How much rates vary
Facilitymedian $240 · 10th to 90th $126 to $2,884Professionalmedian $178 · 10th to 90th $93 to $2,884
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,884.03 | $2,884.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $257.04 | Facility | None | $93.33 | $147.91 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $83.18 Median $194.98 Typical High $239.88 | Professional | None | $83.18 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $354.81 | Facility | None | $141.25 | $223.87 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | None | $95.50 | $104.71 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $346.74 | Facility | None | $125.89 | $204.17 | $346.74 |
Health Partners Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,000.00 | Facility | None | $524.81 | $524.81 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $524.81 Typical High $707.95 | Professional | None | $100.00 | $524.81 | $707.95 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
9 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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $416.87 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $288.40 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $89.13 Typical High $125.89 | Professional | 54 · Surgery only | $57.54 | $89.13 | $125.89 |
Where Minnesota sits
The same service costs 37.2 times more in Wyoming than in North Carolina. 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· 24th of 51
$182
WY $3,548NC $95.50
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.