How much rates vary
Facilitymedian $275 · 10th to 90th $120 to $1,230Professionalmedian $195 · 10th to 90th $120 to $398
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 $117.49 Median $120.23 Typical High $144.54 | Professional | None | $117.49 | $120.23 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,659.59 | Facility | None | $575.44 | $891.25 | $1,659.59 |
BCBS Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $338.84 | Professional | None | $151.36 | $186.21 | $338.84 |
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 $251.19 Typical High $426.58 | Professional | None | $158.49 | $251.19 | $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 $125.89 Median $323.59 Typical High $1,445.44 | Facility | None | $125.89 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $891.25 | Professional | None | $114.82 | $257.04 | $891.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $398.11 | Professional | None | $109.65 | $181.97 | $398.11 |
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 $18.20 Median $18.20 Typical High $18.20 | Facility | 55 · Aftercare only | $18.20 | $18.20 | $18.20 |
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 $60.26 Median $60.26 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 54 · Surgery only | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $14.45 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska than in Florida. 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.
Minnesota· 7th of 51
$204
AK $427FL $89.13
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.