How much rates vary
Facilitymedian $676 · 10th to 90th $158 to $3,311Professionalmedian $324 · 10th to 90th $166 to $631
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 $158.49 Median $158.49 Typical High $3,311.31 | Facility | None | $158.49 | $158.49 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $1,905.46 Typical High $4,466.84 | Facility | None | $407.38 | $1,905.46 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | None | $245.47 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $794.33 | Facility | None | $269.15 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $660.69 | Professional | None | $263.03 | $389.05 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $676.08 | Facility | None | $239.88 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $602.56 | Professional | None | $275.42 | $363.08 | $602.56 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,258.93 Typical High $3,630.78 | Facility | None | $309.03 | $1,258.93 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $1,995.26 | Professional | None | $186.21 | $398.11 | $1,995.26 |
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 $177.83 Median $302.00 Typical High $616.60 | Professional | None | $177.83 | $302.00 | $616.60 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | 52 · Reduced service | $79.43 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | 53 · Discontinued | $31.62 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | 54 · Surgery only | $117.49 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $21.38 |
Where Minnesota sits
The same service costs 7.7 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 $4,047MT $526
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.