How much rates vary
Facilitymedian $832 · 10th to 90th $263 to $3,802Professionalmedian $525 · 10th to 90th $275 to $1,047
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | None | $263.03 | $263.03 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $3,090.30 Typical High $7,244.36 | Facility | None | $812.83 | $3,090.30 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $870.96 | Professional | None | $407.38 | $524.81 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $1,348.96 | Facility | None | $457.09 | $707.95 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,096.48 | Professional | None | $407.38 | $645.65 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,122.02 | Facility | None | $398.11 | $645.65 | $1,122.02 |
Health Partners Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $1,000.00 | Professional | None | $457.09 | $616.60 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,258.93 Typical High $3,981.07 | Facility | None | $478.63 | $1,258.93 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $645.65 Typical High $2,238.72 | Professional | None | $316.23 | $645.65 | $2,238.72 |
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 $295.12 Median $501.19 Typical High $1,023.29 | Professional | None | $295.12 | $501.19 | $1,023.29 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $131.83 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | 54 · Surgery only | $194.98 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $33.88 |
Where Minnesota sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.