How much rates vary
Facilitymedian $1,514 · 10th to 90th $263 to $5,888Professionalmedian $525 · 10th to 90th $282 to $1,023
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 $263.03 Median $263.03 Typical High $5,754.40 | Facility | None | $263.03 | $263.03 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $5,888.44 Typical High $13,803.84 | Facility | None | $1,445.44 | $5,888.44 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $870.96 | Professional | None | $363.08 | $489.78 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,122.02 | Professional | None | $457.09 | $707.95 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $977.24 | Professional | None | $398.11 | $645.65 | $977.24 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $5,011.87 | Facility | None | $426.58 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $2,818.38 | Professional | None | $295.12 | $537.03 | $2,818.38 |
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 $275.42 Median $501.19 Typical High $1,047.13 | Professional | None | $275.42 | $501.19 | $1,047.13 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $52.48 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | 54 · Surgery only | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $31.62 |
Where Minnesota sits
The same service costs 8.5 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 $6,252MT $735
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.