How much rates vary
Facilitymedian $1,023 · 10th to 90th $155 to $3,715Professionalmedian $550 · 10th to 90th $240 to $1,413
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 $426.58 Typical High $426.58 | Facility | None | $154.88 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $489.78 | Professional | None | $154.88 | $281.84 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $933.25 Median $3,090.30 Typical High $7,244.36 | Facility | None | $933.25 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $1,230.27 | Professional | None | $263.03 | $660.69 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,148.15 Typical High $2,187.76 | Facility | None | $691.83 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $676.08 Typical High $1,479.11 | Professional | None | $288.40 | $676.08 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,862.09 | Facility | None | $660.69 | $1,071.52 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $269.15 Median $660.69 Typical High $1,412.54 | Professional | None | $269.15 | $660.69 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,230.27 Typical High $3,467.37 | Facility | None | $288.40 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,288.25 Typical High $3,311.31 | Professional | None | $446.68 | $1,288.25 | $3,311.31 |
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 $194.98 Median $501.19 Typical High $1,348.96 | Professional | None | $194.98 | $501.19 | $1,348.96 |
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 $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $77.62 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $31.62 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $323.59 Typical High $323.59 | Facility | 54 · Surgery only | $117.49 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $64.57 Typical High $64.57 | Facility | 55 · Aftercare only | $23.44 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $15.49 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $77.62 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $81.28 Typical High $97.72 | Professional | 53 · Discontinued | $31.62 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $302.00 Typical High $363.08 | Professional | 54 · Surgery only | $117.49 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $60.26 Typical High $74.13 | Professional | 55 · Aftercare only | $23.44 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $40.74 Typical High $48.98 | Professional | 56 · Pre-op care only | $15.49 | $40.74 | $48.98 |
Where Minnesota sits
The same service costs 5.4 times more in Colorado than in West Virginia. 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 $4,173WV $767
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.