How much rates vary
Facilitymedian $759 · 10th to 90th $229 to $2,951Professionalmedian $468 · 10th to 90th $245 to $912
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | None | $229.09 | $229.09 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $4,466.84 | Facility | None | $602.56 | $1,905.46 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $776.25 | Professional | None | $354.81 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Facility | None | $398.11 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $977.24 | Professional | None | $398.11 | $575.44 | $977.24 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Facility | None | $354.81 | $575.44 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $870.96 | Professional | None | $398.11 | $524.81 | $870.96 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,230.27 Typical High $3,467.37 | Facility | None | $426.58 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $1,862.09 | Professional | None | $275.42 | $537.03 | $1,862.09 |
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 $263.03 Median $446.68 Typical High $912.01 | Professional | None | $263.03 | $446.68 | $912.01 |
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 $114.82 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 54 · Surgery only | $173.78 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $177.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | 53 · Discontinued | $45.71 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $269.15 | Professional | 54 · Surgery only | $173.78 | $173.78 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $53.70 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $35.48 |
Where Minnesota sits
The same service costs 5.6 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 $4,320MT $769
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.