How much rates vary
Facilitymedian $741 · 10th to 90th $200 to $7,079Professionalmedian $407 · 10th to 90th $214 to $776
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $13,803.84 | Facility | None | $4,265.80 | $6,760.83 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $660.69 | Professional | None | $275.42 | $371.54 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $912.01 | Facility | None | $302.00 | $467.74 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $851.14 | Professional | None | $346.74 | $549.54 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $758.58 | Facility | None | $269.15 | $436.52 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $758.58 | Professional | None | $309.03 | $489.78 | $758.58 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $2,187.76 Typical High $7,762.47 | Facility | None | $323.59 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $2,137.96 | Professional | None | $223.87 | $407.38 | $2,137.96 |
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 $208.93 Median $380.19 Typical High $794.33 | Professional | None | $208.93 | $380.19 | $794.33 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 54 · Surgery only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 55 · Aftercare only | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 56 · Pre-op care only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | 54 · Surgery only | $151.36 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $23.99 |
Where Minnesota sits
The same service costs 11.3 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 $6,301MT $557
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.