How much rates vary
Facilitymedian $1,096 · 10th to 90th $537 to $2,344Professionalmedian $1,096 · 10th to 90th $617 to $1,950
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | None | $537.03 | $537.03 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,454.71 | Facility | None | $977.24 | $1,258.93 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,778.28 | Professional | None | $812.83 | $1,096.48 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $2,089.30 | Professional | None | $891.25 | $1,348.96 | $2,089.30 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,905.46 | Professional | None | $776.25 | $1,174.90 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $3,019.95 | Facility | None | $758.58 | $1,202.26 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,023.29 Typical High $2,089.30 | Professional | None | $602.56 | $1,023.29 | $2,089.30 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $2,187.76 | Professional | None | $575.44 | $1,023.29 | $2,187.76 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 54 · Surgery only | $398.11 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $64.57 |
Where Minnesota sits
The same service costs 27.8 times more in Alabama than in Maryland. 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
AL $32,331MD $1,165
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.