How much rates vary
Facilitymedian $589 · 10th to 90th $141 to $3,802Professionalmedian $288 · 10th to 90th $148 to $550
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | None | $141.25 | $141.25 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $891.25 Median $3,311.31 Typical High $7,244.36 | Facility | None | $891.25 | $3,311.31 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $478.63 | Professional | None | $218.78 | $288.40 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $724.44 | Facility | None | $245.47 | $380.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $588.84 | Professional | None | $218.78 | $346.74 | $588.84 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $602.56 | Facility | None | $218.78 | $346.74 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | None | $245.47 | $331.13 | $537.03 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $1,230.27 Typical High $3,467.37 | Facility | None | $257.04 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $1,122.02 | Professional | None | $169.82 | $331.13 | $1,122.02 |
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 $158.49 Median $275.42 Typical High $549.54 | Professional | None | $158.49 | $275.42 | $549.54 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 54 · Surgery only | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | 52 · Reduced service | $70.79 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 54 · Surgery only | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $18.20 |
Where Minnesota sits
The same service costs 11.1 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 $5,221MT $469
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.