How much rates vary
Facilitymedian $646 · 10th to 90th $178 to $3,802Professionalmedian $355 · 10th to 90th $204 to $692
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
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 $257.04 Median $346.74 Typical High $575.44 | Professional | None | $257.04 | $346.74 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $794.33 | Facility | None | $269.15 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $758.58 | Professional | None | $309.03 | $489.78 | $758.58 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $676.08 | Facility | None | $239.88 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $676.08 | Professional | None | $275.42 | $436.52 | $676.08 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,230.27 Typical High $3,981.07 | Facility | None | $288.40 | $1,230.27 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $1,548.82 | Professional | None | $208.93 | $389.05 | $1,548.82 |
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 $194.98 Median $363.08 Typical High $741.31 | Professional | None | $194.98 | $363.08 | $741.31 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 54 · Surgery only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 52 · Reduced service | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 53 · Discontinued | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | 54 · Surgery only | $134.90 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $21.38 |
Where Minnesota sits
The same service costs 9.2 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 $4,822MT $526
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.