How much rates vary
Facilitymedian $912 · 10th to 90th $257 to $11,482Professionalmedian $537 · 10th to 90th $295 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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,762.47 Median $12,589.25 Typical High $25,118.86 | Facility | None | $7,762.47 | $12,589.25 | $25,118.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $870.96 | Professional | None | $407.38 | $537.03 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,148.15 | Facility | None | $389.05 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,096.48 | Professional | None | $446.68 | $691.83 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $977.24 | Facility | None | $346.74 | $562.34 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $630.96 Typical High $954.99 | Professional | None | $389.05 | $630.96 | $954.99 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $3,467.37 Typical High $9,772.37 | Facility | None | $416.87 | $3,467.37 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $562.34 Typical High $1,819.70 | Professional | None | $295.12 | $562.34 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $1,071.52 | Professional | None | $288.40 | $512.86 | $1,071.52 |
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 $128.82 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 55 · Aftercare only | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 54 · Surgery only | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $30.90 |
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 $10,613MT $815
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.