How much rates vary
Facilitymedian $1,549 · 10th to 90th $195 to $5,754Professionalmedian $776 · 10th to 90th $282 to $1,905
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 $194.98 Median $660.69 Typical High $660.69 | Facility | None | $194.98 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $660.69 Typical High $676.08 | Professional | None | $194.98 | $660.69 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $5,248.07 Typical High $12,022.64 | Facility | None | $2,454.71 | $5,248.07 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $281.84 Median $954.99 Typical High $1,659.59 | Professional | None | $281.84 | $954.99 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,884.03 | Facility | None | $891.25 | $1,479.11 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $933.25 Typical High $2,398.83 | Professional | None | $380.19 | $933.25 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $363.08 Median $851.14 Typical High $1,949.84 | Professional | None | $363.08 | $851.14 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $2,041.74 Typical High $5,495.41 | Facility | None | $323.59 | $2,041.74 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,754.23 | Professional | None | $776.25 | $1,318.26 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,090.30 | $8,128.31 |
United Setting Professional Modifier None Typical Low $263.03 Median $741.31 Typical High $2,238.72 | Professional | None | $263.03 | $741.31 | $2,238.72 |
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 $97.72 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $97.72 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $38.90 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $147.91 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $29.51 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $19.50 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $97.72 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $38.90 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $147.91 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $29.51 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $19.50 | $66.07 | $66.07 |
Where Minnesota sits
The same service costs 6.9 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 $7,377MT $1,063
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.