How much rates vary
Facilitymedian $1,148 · 10th to 90th $170 to $3,090Professionalmedian $631 · 10th to 90th $263 to $1,778
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 $524.81 Typical High $524.81 | Facility | None | $169.82 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $489.78 Typical High $602.56 | Professional | None | $169.82 | $489.78 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $436.52 Median $1,905.46 Typical High $4,466.84 | Facility | None | $436.52 | $1,905.46 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $281.84 Median $776.25 Typical High $1,513.56 | Professional | None | $281.84 | $776.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,691.53 | Facility | None | $870.96 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $794.33 Typical High $1,862.09 | Professional | None | $316.23 | $794.33 | $1,862.09 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $2,290.87 | Facility | None | $812.83 | $1,318.26 | $2,290.87 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $812.83 Typical High $1,737.80 | Professional | None | $295.12 | $812.83 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,230.27 Typical High $3,090.30 | Facility | None | $309.03 | $1,230.27 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,621.81 Typical High $4,073.80 | Professional | None | $630.96 | $1,621.81 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $208.93 Median $616.60 Typical High $1,737.80 | Professional | None | $208.93 | $616.60 | $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 $85.11 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $85.11 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $33.88 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $128.82 Median $398.11 Typical High $398.11 | Facility | 54 · Surgery only | $128.82 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $25.70 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $16.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $239.88 Typical High $302.00 | Professional | 52 · Reduced service | $85.11 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $33.88 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $363.08 Typical High $446.68 | Professional | 54 · Surgery only | $128.82 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $72.44 Typical High $91.20 | Professional | 55 · Aftercare only | $25.70 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $48.98 Typical High $60.26 | Professional | 56 · Pre-op care only | $16.98 | $48.98 | $60.26 |
Where Minnesota sits
The same service costs 4.8 times more in Colorado than in Maryland. 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 $4,327MD $911
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.