How much rates vary
Facilitymedian $617 · 10th to 90th $91 to $5,012Professionalmedian $324 · 10th to 90th $141 to $692
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 $91.20 Median $239.88 Typical High $1,288.25 | Facility | None | $91.20 | $239.88 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $234.42 Typical High $275.42 | Professional | None | $91.20 | $234.42 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $13,803.84 | Facility | None | $4,168.69 | $7,079.46 | $13,803.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $141.25 Median $354.81 Typical High $616.60 | Professional | None | $141.25 | $354.81 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $1,023.29 | Facility | None | $331.13 | $537.03 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $371.54 Typical High $891.25 | Professional | None | $177.83 | $371.54 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $870.96 | Facility | None | $309.03 | $501.19 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $724.44 | Professional | None | $169.82 | $346.74 | $724.44 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $707.95 Typical High $4,073.80 | Facility | None | $169.82 | $707.95 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $933.25 | Professional | None | $281.84 | $467.74 | $933.25 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $758.58 | Professional | None | $151.36 | $309.03 | $758.58 |
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 $45.71 Median $120.23 Typical High $120.23 | Facility | 52 · Reduced service | $45.71 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $18.20 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $67.61 Median $177.83 Typical High $177.83 | Facility | 54 · Surgery only | $67.61 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $13.80 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $23.99 Typical High $23.99 | Facility | 56 · Pre-op care only | $9.12 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $45.71 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $18.20 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $67.61 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $13.80 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $9.12 | $23.99 | $23.99 |
Where Minnesota sits
The same service costs 10.4 times more in Colorado than in North Dakota. 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 $4,594ND $443
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.