How much rates vary
Facilitymedian $112 · 10th to 90th $23 to $447Professionalmedian $72 · 10th to 90th $36 to $145
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 $23.44 Median $45.71 Typical High $131.83 | Facility | None | $23.44 | $45.71 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $48.98 | Professional | None | $23.44 | $41.69 | $48.98 |
BCBS Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $467.74 | Facility | None | $79.43 | $213.80 | $467.74 |
BCBS Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $125.89 | Professional | None | $38.90 | $75.86 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $223.87 | Facility | None | $75.86 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $162.18 | Professional | None | $39.81 | $81.28 | $162.18 |
Health Partners Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $186.21 | Facility | None | $67.61 | $107.15 | $186.21 |
Health Partners Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $158.49 | Professional | None | $38.90 | $75.86 | $158.49 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $1,230.27 | Facility | None | $44.67 | $154.88 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $338.84 | Professional | None | $54.95 | $107.15 | $338.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,778.28 | Facility | None | $125.89 | $354.81 | $1,778.28 |
United Setting Professional Modifier None Typical Low $31.62 Median $63.10 Typical High $138.04 | Professional | None | $31.62 | $63.10 | $138.04 |
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 $11.75 Median $22.91 Typical High $22.91 | Facility | 52 · Reduced service | $11.75 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $9.12 Typical High $9.12 | Facility | 53 · Discontinued | $4.68 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $17.78 Median $34.67 Typical High $34.67 | Facility | 54 · Surgery only | $17.78 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.55 Median $6.92 Typical High $6.92 | Facility | 55 · Aftercare only | $3.55 | $6.92 | $6.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.34 Median $4.57 Typical High $4.57 | Facility | 56 · Pre-op care only | $2.34 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $18.62 Typical High $22.91 | Professional | 52 · Reduced service | $11.75 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.59 Typical High $9.12 | Professional | 53 · Discontinued | $4.68 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $28.18 Typical High $34.67 | Professional | 54 · Surgery only | $17.78 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $5.62 Typical High $6.92 | Professional | 55 · Aftercare only | $3.55 | $5.62 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.80 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.34 | $3.80 | $4.57 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$75.86
AK $120NJ $34.67
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.