How much rates vary
Facilitymedian $1,047 · 10th to 90th $145 to $2,951Professionalmedian $380 · 10th to 90th $174 to $933
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 $112.20 Median $288.40 Typical High $2,570.40 | Facility | None | $112.20 | $288.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $281.84 Typical High $338.84 | Professional | None | $112.20 | $281.84 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $6,025.60 | Facility | None | $1,584.89 | $2,884.03 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $190.55 Median $446.68 Typical High $831.76 | Professional | None | $190.55 | $446.68 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $1,479.11 | Facility | None | $467.74 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $446.68 Typical High $1,000.00 | Professional | None | $208.93 | $446.68 | $1,000.00 |
Health Partners Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,230.27 | Facility | None | $436.52 | $707.95 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $954.99 | Professional | None | $194.98 | $446.68 | $954.99 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $3,467.37 | Facility | None | $234.42 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $831.76 Typical High $2,238.72 | Professional | None | $309.03 | $831.76 | $2,238.72 |
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 $138.04 Median $338.84 Typical High $891.25 | Professional | None | $138.04 | $338.84 | $891.25 |
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 $56.23 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $56.23 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $22.39 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $218.78 Typical High $218.78 | Facility | 54 · Surgery only | $83.18 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $16.60 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $28.84 Typical High $28.84 | Facility | 56 · Pre-op care only | $11.22 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $56.23 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $22.39 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $208.93 Typical High $245.47 | Professional | 54 · Surgery only | $83.18 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $16.60 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $27.54 Typical High $33.11 | Professional | 56 · Pre-op care only | $11.22 | $27.54 | $33.11 |
Where Minnesota sits
The same service costs 6.9 times more in Colorado than in North Dakota. 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 $4,090ND $590
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.