How much rates vary
Facilitymedian $417 · 10th to 90th $120 to $3,467Professionalmedian $191 · 10th to 90th $120 to $389
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $141.25 | Professional | None | $109.65 | $120.23 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $2,570.40 Typical High $6,165.95 | Facility | None | $630.96 | $2,570.40 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $331.13 | Professional | None | $144.54 | $181.97 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $512.86 | Facility | None | $173.78 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $426.58 | Professional | None | $158.49 | $245.47 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $436.52 | Facility | None | $154.88 | $251.19 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $389.05 | Professional | None | $173.78 | $234.42 | $389.05 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $1,230.27 Typical High $3,467.37 | Facility | None | $181.97 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $257.04 Typical High $891.25 | Professional | None | $112.20 | $257.04 | $891.25 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $389.05 | Professional | None | $109.65 | $177.83 | $389.05 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 54 · Surgery only | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $89.13 Typical High $107.15 | Professional | 54 · Surgery only | $87.10 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $21.38 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $14.13 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $14.13 |
Where Minnesota sits
The same service costs 14.5 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 $4,506MT $310
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.