How much rates vary
Facilitymedian $1,288 · 10th to 90th $155 to $6,026Professionalmedian $309 · 10th to 90th $162 to $589
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 $154.88 Median $154.88 Typical High $6,025.60 | Facility | None | $154.88 | $154.88 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,137.96 Median $5,888.44 Typical High $13,803.84 | Facility | None | $2,137.96 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $501.19 | Professional | None | $213.80 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $691.83 | Facility | None | $234.42 | $363.08 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $660.69 | Professional | None | $263.03 | $416.87 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $575.44 | Facility | None | $208.93 | $331.13 | $575.44 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $575.44 | Professional | None | $234.42 | $380.19 | $575.44 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $2,041.74 Typical High $6,760.83 | Facility | None | $245.47 | $2,041.74 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $1,995.26 | Professional | None | $169.82 | $309.03 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $602.56 | Professional | None | $158.49 | $288.40 | $602.56 |
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 $77.62 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 54 · Surgery only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 54 · Surgery only | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $18.20 |
Where Minnesota sits
The same service costs 14.3 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 $6,102MT $428
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.