How much rates vary
Facilitymedian $2,630 · 10th to 90th $575 to $5,495Professionalmedian $851 · 10th to 90th $447 to $1,660
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 $426.58 Median $4,897.79 Typical High $5,495.41 | Facility | None | $426.58 | $4,897.79 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $630.96 | Professional | None | $426.58 | $426.58 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,348.96 Median $9,332.54 Typical High $22,387.21 | Facility | None | $1,348.96 | $9,332.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,412.54 | Professional | None | $660.69 | $851.14 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,187.76 | Facility | None | $741.31 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,778.28 | Professional | None | $660.69 | $1,047.13 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,819.70 | Facility | None | $645.65 | $1,047.13 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,621.81 | Professional | None | $741.31 | $977.24 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $2,187.76 Typical High $6,760.83 | Facility | None | $851.14 | $2,187.76 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,096.48 Typical High $3,388.44 | Professional | None | $512.86 | $1,096.48 | $3,388.44 |
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 $478.63 Median $812.83 Typical High $1,659.59 | Professional | None | $478.63 | $812.83 | $1,659.59 |
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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | 52 · Reduced service | $213.80 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 53 · Discontinued | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $407.38 | Professional | 54 · Surgery only | $316.23 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $54.95 |
Where Minnesota sits
The same service costs 6.1 times more in Alaska 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
AK $8,625MT $1,416
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.