How much rates vary
Facilitymedian $933 · 10th to 90th $155 to $12,023Professionalmedian $776 · 10th to 90th $219 to $1,950
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 $154.88 Median $660.69 Typical High $12,022.64 | Facility | None | $154.88 | $660.69 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $660.69 Typical High $758.58 | Professional | None | $154.88 | $660.69 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $7,585.78 Typical High $14,125.38 | Facility | None | $4,073.80 | $7,585.78 | $14,125.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $851.14 Typical High $1,659.59 | Professional | None | $229.09 | $851.14 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,818.38 | Facility | None | $891.25 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,023.29 Typical High $2,398.83 | Professional | None | $302.00 | $1,023.29 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,344.23 | Facility | None | $851.14 | $1,348.96 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $831.76 Typical High $1,949.84 | Professional | None | $275.42 | $831.76 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $371.54 Typical High $1,445.44 | Facility | None | $125.89 | $371.54 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,951.21 | Professional | None | $891.25 | $1,479.11 | $2,951.21 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $186.21 Median $630.96 Typical High $2,454.71 | Professional | None | $186.21 | $630.96 | $2,454.71 |
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 $77.62 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $77.62 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $30.90 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $114.82 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $114.82 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $23.44 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $15.49 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $77.62 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $30.90 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $114.82 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $23.44 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $15.49 | $66.07 | $66.07 |
Where Minnesota sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.