How much rates vary
Facilitymedian $603 · 10th to 90th $170 to $3,802Professionalmedian $339 · 10th to 90th $178 to $676
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | None | $169.82 | $169.82 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $3,090.30 Typical High $7,244.36 | Facility | None | $524.81 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $562.34 | Professional | None | $263.03 | $338.84 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $870.96 | Facility | None | $288.40 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $707.95 | Professional | None | $263.03 | $416.87 | $707.95 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $645.65 | Professional | None | $295.12 | $389.05 | $645.65 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,230.27 Typical High $3,981.07 | Facility | None | $309.03 | $1,230.27 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $2,454.71 | Professional | None | $199.53 | $416.87 | $2,454.71 |
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 $190.55 Median $323.59 Typical High $660.69 | Professional | None | $190.55 | $323.59 | $660.69 |
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 $85.11 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 54 · Surgery only | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 54 · Surgery only | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $21.38 |
Where Minnesota sits
The same service costs 7.3 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 $4,136MT $564
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.