How much rates vary
Facilitymedian $759 · 10th to 90th $219 to $4,467Professionalmedian $468 · 10th to 90th $229 to $871
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,623.41 Typical High $12,022.64 | Facility | None | $2,137.96 | $5,623.41 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | None | $363.08 | $489.78 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $1,071.52 | Facility | None | $363.08 | $562.34 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $912.01 | Professional | None | $346.74 | $588.84 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $891.25 | Facility | None | $323.59 | $512.86 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $537.03 Typical High $870.96 | Professional | None | $309.03 | $537.03 | $870.96 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,230.27 Typical High $3,467.37 | Facility | None | $316.23 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $1,819.70 | Professional | None | $263.03 | $467.74 | $1,819.70 |
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 $245.47 Median $416.87 Typical High $870.96 | Professional | None | $245.47 | $416.87 | $870.96 |
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 $109.65 Median $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 54 · Surgery only | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 55 · Aftercare only | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 54 · Surgery only | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $24.55 |
Where Minnesota sits
The same service costs 6.2 times more in Colorado than in Montana. 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 $4,689MT $752
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.