How much rates vary
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $30,199.52 Typical High $50,118.72 | Facility | None | $6,309.57 | $30,199.52 | $50,118.72 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $45,708.82 Typical High $85,113.80 | Facility | 50 · Both sides | $23,988.33 | $45,708.82 | $85,113.80 |
BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,677.35 | Professional | None | $3,715.35 | $4,168.69 | $4,677.35 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $5,623.41 Median $6,309.57 Typical High $7,079.46 | Professional | 50 · Both sides | $5,623.41 | $6,309.57 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $9,332.54 | Facility | None | $3,235.94 | $4,897.79 | $9,332.54 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $10,964.78 | Facility | None | $3,235.94 | $5,248.07 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,023.29 | $1,778.28 | $3,715.35 |
7 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 $32.36 Median $32.36 Typical High $32.36 | Facility | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 54 · Surgery only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 54 · Surgery only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $9.77 |
Where Minnesota sits
The same service costs 51.3 times more in Oklahoma 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· 4th of 51
$3,715
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.