How much rates vary
Facilitymedian $646 · 10th to 90th $170 to $5,754Professionalmedian $339 · 10th to 90th $182 to $661
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 $169.82 Median $169.82 Typical High $4,365.16 | Facility | None | $169.82 | $169.82 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None | $169.82 | $169.82 | $204.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $5,888.44 Typical High $13,803.84 | Facility | None | $380.19 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $562.34 | Professional | None | $234.42 | $316.23 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $776.25 | Facility | None | $257.04 | $398.11 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $724.44 | Professional | None | $295.12 | $467.74 | $724.44 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $645.65 | Facility | None | $229.09 | $371.54 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $645.65 | Professional | None | $263.03 | $416.87 | $645.65 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $2,187.76 Typical High $6,760.83 | Facility | None | $275.42 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $1,659.59 | Professional | None | $190.55 | $346.74 | $1,659.59 |
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 $177.83 Median $323.59 Typical High $676.08 | Professional | None | $177.83 | $323.59 | $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 $85.11 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 54 · Surgery only | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 54 · Surgery only | $128.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $20.42 |
Where Minnesota sits
The same service costs 13.0 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 $6,260MT $480
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.