How much rates vary
Facilitymedian $9,550 · 10th to 90th $457 to $28,840Professionalmedian $5,129 · 10th to 90th $676 to $14,791
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 $457.09 Median $5,128.61 Typical High $28,840.32 | Facility | None | $457.09 | $5,128.61 | $28,840.32 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $4,265.80 Typical High $5,128.61 | Professional | None | $457.09 | $4,265.80 | $5,128.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15,135.61 Median $28,183.83 Typical High $54,954.09 | Facility | None | $15,135.61 | $28,183.83 | $54,954.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $3,090.30 Typical High $12,589.25 | Professional | None | $676.08 | $3,090.30 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $11,481.54 Typical High $21,877.62 | Facility | None | $7,079.46 | $11,481.54 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $7,079.46 Typical High $19,054.61 | Professional | None | $891.25 | $7,079.46 | $19,054.61 |
Health Partners Setting Facility Modifier None Typical Low $6,606.93 Median $10,715.19 Typical High $18,620.87 | Facility | None | $6,606.93 | $10,715.19 | $18,620.87 |
Health Partners Setting Professional Modifier None Typical Low $831.76 Median $4,466.84 Typical High $15,488.17 | Professional | None | $831.76 | $4,466.84 | $15,488.17 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $5,495.41 Typical High $13,803.84 | Facility | None | $758.58 | $5,495.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $6,165.95 Median $10,471.29 Typical High $21,379.62 | Professional | None | $6,165.95 | $10,471.29 | $21,379.62 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $28,840.32 | Facility | None | $3,981.07 | $5,623.41 | $28,840.32 |
United Setting Professional Modifier None Typical Low $645.65 Median $2,691.53 Typical High $17,378.01 | Professional | None | $645.65 | $2,691.53 | $17,378.01 |
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 $223.87 Median $2,570.40 Typical High $2,570.40 | Facility | 52 · Reduced service | $223.87 | $2,570.40 | $2,570.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $1,023.29 Typical High $1,023.29 | Facility | 53 · Discontinued | $91.20 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $338.84 Median $3,801.89 Typical High $3,801.89 | Facility | 54 · Surgery only | $338.84 | $3,801.89 | $3,801.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $776.25 Typical High $776.25 | Facility | 55 · Aftercare only | $67.61 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $512.86 Typical High $512.86 | Facility | 56 · Pre-op care only | $45.71 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $223.87 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $91.20 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $3,801.89 Typical High $3,801.89 | Professional | 54 · Surgery only | $338.84 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $67.61 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $45.71 | $512.86 | $512.86 |
Where Minnesota sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.