How much rates vary
Facilitymedian $759 · 10th to 90th $200 to $3,631Professionalmedian $427 · 10th to 90th $240 to $794
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,122.02 Median $2,818.38 Typical High $6,165.95 | Facility | None | $1,122.02 | $2,818.38 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $691.83 | Professional | None | $295.12 | $398.11 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $933.25 | Facility | None | $316.23 | $489.78 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $891.25 | Professional | None | $363.08 | $562.34 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $794.33 | Facility | None | $281.84 | $457.09 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $776.25 | Professional | None | $316.23 | $512.86 | $776.25 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,230.27 Typical High $3,467.37 | Facility | None | $338.84 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $4,073.80 | Professional | None | $257.04 | $446.68 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $812.83 | Professional | None | $234.42 | $416.87 | $812.83 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 54 · Surgery only | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 56 · Pre-op care only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 52 · Reduced service | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 54 · Surgery only | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $21.88 |
Where Minnesota sits
The same service costs 7.6 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 $4,681MT $618
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.