How much rates vary
Facilitymedian $2,692 · 10th to 90th $468 to $5,129Professionalmedian $891 · 10th to 90th $468 to $1,738
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 $446.68 Median $3,235.94 Typical High $5,128.61 | Facility | None | $446.68 | $3,235.94 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $645.65 | Professional | None | $446.68 | $446.68 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $9,332.54 Typical High $22,387.21 | Facility | None | $1,380.38 | $9,332.54 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,479.11 | Professional | None | $676.08 | $891.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,290.87 | Facility | None | $758.58 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,862.09 | Professional | None | $691.83 | $1,096.48 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,905.46 | Facility | None | $676.08 | $1,096.48 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,698.24 | Professional | None | $776.25 | $1,023.29 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,187.76 Typical High $6,606.93 | Facility | None | $812.83 | $2,187.76 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,148.15 Typical High $3,548.13 | Professional | None | $537.03 | $1,148.15 | $3,548.13 |
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 $501.19 Median $851.14 Typical High $1,737.80 | Professional | None | $501.19 | $851.14 | $1,737.80 |
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 $223.87 Median $223.87 Typical High $223.87 | Facility | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | 52 · Reduced service | $223.87 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | 53 · Discontinued | $89.13 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | 54 · Surgery only | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $56.23 |
Where Minnesota sits
The same service costs 5.9 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 $8,723MT $1,483
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.