How much rates vary
Facilitymedian $1,514 · 10th to 90th $347 to $6,310Professionalmedian $692 · 10th to 90th $363 to $1,349
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 $346.74 Median $2,951.21 Typical High $6,309.57 | Facility | None | $346.74 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | None | $346.74 | $346.74 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,096.48 Median $3,090.30 Typical High $7,244.36 | Facility | None | $1,096.48 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,148.15 | Professional | None | $537.03 | $691.83 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,778.28 | Facility | None | $602.56 | $933.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,445.44 | Professional | None | $549.54 | $851.14 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,479.11 | Facility | None | $524.81 | $851.14 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,318.26 | Professional | None | $602.56 | $812.83 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $3,981.07 | Facility | None | $630.96 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $831.76 Typical High $2,754.23 | Professional | None | $416.87 | $831.76 | $2,754.23 |
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 $389.05 Median $660.69 Typical High $1,348.96 | Professional | None | $389.05 | $660.69 | $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 $173.78 Median $173.78 Typical High $173.78 | Facility | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | 54 · Surgery only | $257.04 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $44.67 |
Where Minnesota sits
The same service costs 5.0 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 $5,749MT $1,151
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.