How much rates vary
Facilitymedian $1,514 · 10th to 90th $309 to $5,754Professionalmedian $631 · 10th to 90th $324 to $1,230
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 $309.03 Median $309.03 Typical High $4,897.79 | Facility | None | $309.03 | $309.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | None | $309.03 | $309.03 | $457.09 |
BCBS Setting Facility Modifier None Typical Low $977.24 Median $6,025.60 Typical High $14,454.40 | Facility | None | $977.24 | $6,025.60 | $14,454.40 |
BCBS Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,047.13 | Professional | None | $478.63 | $630.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $1,584.89 | Facility | None | $537.03 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,318.26 | Professional | None | $489.78 | $776.25 | $1,318.26 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,348.96 | Facility | None | $478.63 | $776.25 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,202.26 | Professional | None | $537.03 | $724.44 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $2,187.76 Typical High $7,762.47 | Facility | None | $575.44 | $2,187.76 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $2,511.89 | Professional | None | $371.54 | $776.25 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,230.27 | Professional | None | $354.81 | $602.56 | $1,230.27 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $61.66 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | 54 · Surgery only | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $39.81 |
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 $5,952MT $1,050
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.