How much rates vary
Facilitymedian $1,820 · 10th to 90th $468 to $4,677Professionalmedian $617 · 10th to 90th $275 to $1,549
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 $181.97 Median $2,951.21 Typical High $5,128.61 | Facility | None | $181.97 | $2,951.21 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $537.03 | Professional | None | $181.97 | $323.59 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,071.52 Median $3,090.30 Typical High $7,244.36 | Facility | None | $1,071.52 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $724.44 Typical High $1,348.96 | Professional | None | $302.00 | $724.44 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,398.83 | Facility | None | $812.83 | $1,258.93 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $776.25 Typical High $1,659.59 | Professional | None | $331.13 | $776.25 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,041.74 | Facility | None | $724.44 | $1,174.90 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $724.44 Typical High $1,548.82 | Professional | None | $316.23 | $724.44 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,230.27 Typical High $3,467.37 | Facility | None | $426.58 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,318.26 Typical High $3,630.78 | Professional | None | $489.78 | $1,318.26 | $3,630.78 |
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 $223.87 Median $562.34 Typical High $1,479.11 | Professional | None | $223.87 | $562.34 | $1,479.11 |
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 $91.20 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $91.20 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $93.33 Typical High $93.33 | Facility | 53 · Discontinued | $36.31 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $354.81 Typical High $354.81 | Facility | 54 · Surgery only | $134.90 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $26.92 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $18.20 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $223.87 Typical High $269.15 | Professional | 52 · Reduced service | $91.20 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $89.13 Typical High $107.15 | Professional | 53 · Discontinued | $36.31 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $331.13 Typical High $407.38 | Professional | 54 · Surgery only | $134.90 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $66.07 Typical High $81.28 | Professional | 55 · Aftercare only | $26.92 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $44.67 Typical High $53.70 | Professional | 56 · Pre-op care only | $18.20 | $44.67 | $53.70 |
Where Minnesota sits
The same service costs 4.1 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 $4,142MT $1,002
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.