How much rates vary
Facilitymedian $871 · 10th to 90th $120 to $3,467Professionalmedian $437 · 10th to 90th $186 to $1,202
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 $120.23 Median $371.54 Typical High $371.54 | Facility | None | $120.23 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $416.87 | Professional | None | $120.23 | $213.80 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $758.58 Median $3,090.30 Typical High $7,244.36 | Facility | None | $758.58 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $537.03 Typical High $1,047.13 | Professional | None | $204.17 | $537.03 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,905.46 | Facility | None | $602.56 | $977.24 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $537.03 Typical High $1,288.25 | Professional | None | $223.87 | $537.03 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | None | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $208.93 Median $562.34 Typical High $1,202.26 | Professional | None | $208.93 | $562.34 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $1,230.27 Typical High $3,467.37 | Facility | None | $218.78 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $1,071.52 Typical High $2,818.38 | Professional | None | $371.54 | $1,071.52 | $2,818.38 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $147.91 Median $407.38 Typical High $1,122.02 | Professional | None | $147.91 | $407.38 | $1,122.02 |
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 $60.26 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $60.26 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $23.99 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $89.13 Median $275.42 Typical High $275.42 | Facility | 54 · Surgery only | $89.13 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $18.20 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $12.02 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $60.26 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $23.99 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $89.13 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $52.48 Typical High $61.66 | Professional | 55 · Aftercare only | $18.20 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $12.02 | $34.67 | $41.69 |
Where Minnesota sits
The same service costs 5.7 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 $4,090MT $722
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.