How much rates vary
Facilitymedian $794 · 10th to 90th $257 to $1,698Professionalmedian $324 · 10th to 90th $126 to $1,698
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $1,995.26 | Facility | None | $251.19 | $323.59 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $275.42 | Professional | None | $141.25 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,230.27 | Facility | None | $489.78 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $416.87 | Professional | None | $331.13 | $346.74 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,202.26 | Facility | None | $436.52 | $707.95 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,090.30 | Facility | None | $1,659.59 | $1,659.59 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,659.59 Typical High $5,888.44 | Professional | None | $346.74 | $1,659.59 | $5,888.44 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
11 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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,258.93 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $28.84 Typical High $125.89 | Professional | 54 · Surgery only | $18.62 | $28.84 | $125.89 |
Where Minnesota sits
The same service costs 15.1 times more in Arkansas 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
$331
AR $1,778NC $117
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.