How much rates vary
Facilitymedian $355 · 10th to 90th $47 to $813Professionalmedian $214 · 10th to 90th $74 to $575
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 $46.77 Median $169.82 Typical High $676.08 | Facility | None | $46.77 | $169.82 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $144.54 Typical High $169.82 | Professional | None | $46.77 | $144.54 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $1,096.48 | Facility | None | $323.59 | $602.56 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $489.78 | Professional | None | $74.13 | $234.42 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $851.14 | Facility | None | $269.15 | $446.68 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $288.40 Typical High $724.44 | Professional | None | $107.15 | $288.40 | $724.44 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $407.38 Typical High $707.95 | Facility | None | $251.19 | $407.38 | $707.95 |
Health Partners Setting Professional Modifier None Typical Low $97.72 Median $257.04 Typical High $630.96 | Professional | None | $97.72 | $257.04 | $630.96 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $323.59 Typical High $1,148.15 | Facility | None | $83.18 | $323.59 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $457.09 Typical High $741.31 | Professional | None | $218.78 | $457.09 | $741.31 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $70.79 Median $199.53 Typical High $616.60 | Professional | None | $70.79 | $199.53 | $616.60 |
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 $23.44 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $23.44 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $9.33 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $35.48 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $35.48 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $7.08 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $4.68 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $23.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $9.33 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $109.65 Typical High $128.82 | Professional | 54 · Surgery only | $35.48 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $21.88 Typical High $25.70 | Professional | 55 · Aftercare only | $7.08 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $14.45 Typical High $16.98 | Professional | 56 · Pre-op care only | $4.68 | $14.45 | $16.98 |
Where Minnesota sits
The same service costs 13.8 times more in Hawaii than in Louisiana. 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.
Physician feeFacility fee
HI $2,918LA $212
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.