How much rates vary
Facilitymedian $1,047 · 10th to 90th $126 to $3,311Professionalmedian $479 · 10th to 90th $186 to $1,202
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 $125.89 Median $380.19 Typical High $3,019.95 | Facility | None | $125.89 | $380.19 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $363.08 Typical High $446.68 | Professional | None | $125.89 | $363.08 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $6,165.95 | Facility | None | $1,230.27 | $2,691.53 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $549.54 Typical High $1,000.00 | Professional | None | $204.17 | $549.54 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,862.09 | Facility | None | $588.84 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $549.54 Typical High $1,318.26 | Professional | None | $223.87 | $549.54 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,548.82 | Facility | None | $562.34 | $891.25 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $1,258.93 | Professional | None | $208.93 | $501.19 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,230.27 Typical High $3,467.37 | Facility | None | $269.15 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,071.52 Typical High $5,495.41 | Professional | None | $478.63 | $1,071.52 | $5,495.41 |
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 $151.36 Median $478.63 Typical High $1,318.26 | Professional | None | $151.36 | $478.63 | $1,318.26 |
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 $63.10 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $63.10 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $25.12 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $288.40 Typical High $288.40 | Facility | 54 · Surgery only | $95.50 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $19.05 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $12.59 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $63.10 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $25.12 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $95.50 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $19.05 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $36.31 Typical High $38.02 | Professional | 56 · Pre-op care only | $12.59 | $36.31 | $38.02 |
Where Minnesota sits
The same service costs 5.1 times more in Colorado than in North Dakota. 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 $4,353ND $853
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.