How much rates vary
Facilitymedian $234 · 10th to 90th $45 to $490Professionalmedian $148 · 10th to 90th $45 to $234
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | None | $43.65 | $53.70 | $53.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $257.04 | Facility | None | $30.90 | $47.86 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $194.98 Typical High $239.88 | Professional | None | $27.54 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $660.69 | Facility | None | $218.78 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | None | $147.91 | $154.88 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $549.54 | Facility | None | $194.98 | $316.23 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $89.13 | Facility | None | $53.70 | $53.70 | $89.13 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $138.04 | Professional | None | $44.67 | $44.67 | $138.04 |
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 $26.92 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 54 · Surgery only | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 54 · Surgery only | $33.11 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.61 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.37 | $5.37 | $5.37 |
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 6.3 times more in North Dakota than in Hawaii. 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· 2nd of 51
$148
ND $182HI $28.84
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.