How much rates vary
Facilitymedian $617 · 10th to 90th $245 to $1,905Professionalmedian $490 · 10th to 90th $295 to $891
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $295.12 | Professional | None | $245.47 | $245.47 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $467.74 Median $977.24 Typical High $2,398.83 | Facility | None | $467.74 | $977.24 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | None | $363.08 | $489.78 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,047.13 | Facility | None | $354.81 | $549.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $954.99 | Professional | None | $407.38 | $616.60 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $891.25 | Facility | None | $316.23 | $501.19 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $870.96 | Professional | None | $354.81 | $537.03 | $870.96 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,148.15 Typical High $3,019.95 | Facility | None | $371.54 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $954.99 | Professional | None | $288.40 | $467.74 | $954.99 |
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 $275.42 Median $467.74 Typical High $977.24 | Professional | None | $275.42 | $467.74 | $977.24 |
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 $123.03 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 54 · Surgery only | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 54 · Surgery only | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $29.51 |
Where Minnesota sits
The same service costs 7.3 times more in Alaska 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
AK $5,199MT $710
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.