How much rates vary
Facilitymedian $575 · 10th to 90th $91 to $4,169Professionalmedian $302 · 10th to 90th $141 to $676
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 $91.20 Median $213.80 Typical High $213.80 | Facility | None | $91.20 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $213.80 | Professional | None | $91.20 | $199.53 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $7,244.36 | Facility | None | $2,187.76 | $4,365.16 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $602.56 | Professional | None | $162.18 | $354.81 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,047.13 | Facility | None | $354.81 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $741.31 | Professional | None | $162.18 | $354.81 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $870.96 | Facility | None | $316.23 | $501.19 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $707.95 | Professional | None | $151.36 | $316.23 | $707.95 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $1,202.26 Typical High $3,981.07 | Facility | None | $173.78 | $1,202.26 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $478.63 Typical High $1,584.89 | Professional | None | $223.87 | $478.63 | $1,584.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $109.65 Median $269.15 Typical High $676.08 | Professional | None | $109.65 | $269.15 | $676.08 |
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 $45.71 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $45.71 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $18.20 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $162.18 Typical High $162.18 | Facility | 54 · Surgery only | $69.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $13.80 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $9.12 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $45.71 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $18.20 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $154.88 Typical High $162.18 | Professional | 54 · Surgery only | $69.18 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $30.90 Typical High $32.36 | Professional | 55 · Aftercare only | $13.80 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $20.89 Typical High $21.38 | Professional | 56 · Pre-op care only | $9.12 | $20.89 | $21.38 |
Where Minnesota sits
The same service costs 11.0 times more in Colorado than in West Virginia. 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
CO $4,480WV $407
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.