How much rates vary
Facilitymedian $851 · 10th to 90th $182 to $3,162Professionalmedian $550 · 10th to 90th $269 to $1,000
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 $181.97 Median $323.59 Typical High $1,905.46 | Facility | None | $181.97 | $323.59 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $363.08 | Professional | None | $181.97 | $295.12 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $6,456.54 | Facility | None | $954.99 | $2,818.38 | $6,456.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $891.25 | Professional | None | $288.40 | $549.54 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Facility | None | $489.78 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $1,230.27 | Professional | None | $371.54 | $691.83 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,202.26 | Facility | None | $436.52 | $691.83 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $1,148.15 | Professional | None | $323.59 | $588.84 | $1,148.15 |
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 $363.08 Median $741.31 Typical High $2,398.83 | Professional | None | $363.08 | $741.31 | $2,398.83 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,466.84 | Facility | None | $776.25 | $1,659.59 | $4,466.84 |
United Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $1,000.00 | Professional | None | $234.42 | $501.19 | $1,000.00 |
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 $91.20 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $91.20 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $37.15 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $138.04 Median $239.88 Typical High $239.88 | Facility | 54 · Surgery only | $138.04 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $27.54 Median $47.86 Typical High $47.86 | Facility | 55 · Aftercare only | $27.54 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $32.36 Typical High $32.36 | Facility | 56 · Pre-op care only | $18.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $91.20 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $37.15 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $213.80 Typical High $239.88 | Professional | 54 · Surgery only | $138.04 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $47.86 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $18.20 | $28.84 | $32.36 |
Where Minnesota sits
The same service costs 7.0 times more in Vermont than in North Dakota. 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
VT $4,790ND $687
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.