How much rates vary
Facilitymedian $977 · 10th to 90th $468 to $3,388Professionalmedian $955 · 10th to 90th $603 to $1,995
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None | $467.74 | $467.74 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $891.25 Median $2,041.74 Typical High $6,918.31 | Facility | None | $891.25 | $2,041.74 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,513.56 | Professional | None | $707.95 | $933.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Facility | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,819.70 | Professional | None | $794.33 | $1,148.15 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,659.59 | Facility | None | $602.56 | $954.99 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,659.59 | Professional | None | $676.08 | $1,023.29 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,202.26 Typical High $3,019.95 | Facility | None | $707.95 | $1,202.26 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,511.89 | Professional | None | $776.25 | $1,230.27 | $2,511.89 |
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 $645.65 Median $1,202.26 Typical High $2,570.40 | Professional | None | $645.65 | $1,202.26 | $2,570.40 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | 54 · Surgery only | $346.74 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $60.26 |
Where Minnesota sits
The same service costs 13.6 times more in Colorado 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
CO $15,162MD $1,112
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.