How much rates vary
Facilitymedian $794 · 10th to 90th $71 to $3,090Professionalmedian $275 · 10th to 90th $110 to $851
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 $70.79 Median $269.15 Typical High $1,621.81 | Facility | None | $70.79 | $269.15 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $204.17 Typical High $302.00 | Professional | None | $70.79 | $204.17 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,584.89 Median $3,311.31 Typical High $5,248.07 | Facility | None | $1,584.89 | $3,311.31 | $5,248.07 |
BCBS Minnesota Setting Professional Modifier None Typical Low $123.03 Median $389.05 Typical High $758.58 | Professional | None | $123.03 | $389.05 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $1,380.38 | Facility | None | $426.58 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $912.01 | Professional | None | $128.82 | $316.23 | $912.01 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $1,148.15 | Facility | None | $407.38 | $660.69 | $1,148.15 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $398.11 Typical High $870.96 | Professional | None | $123.03 | $398.11 | $870.96 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $1,148.15 Typical High $3,311.31 | Facility | None | $138.04 | $1,148.15 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $758.58 Typical High $2,041.74 | Professional | None | $263.03 | $758.58 | $2,041.74 |
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 $87.10 Median $263.03 Typical High $794.33 | Professional | None | $87.10 | $263.03 | $794.33 |
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 $35.48 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $35.48 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $14.13 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $199.53 Typical High $199.53 | Facility | 54 · Surgery only | $52.48 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $10.47 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $7.08 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $35.48 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $40.74 Typical High $56.23 | Professional | 53 · Discontinued | $14.13 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $154.88 Typical High $208.93 | Professional | 54 · Surgery only | $52.48 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $10.47 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $20.42 Typical High $28.18 | Professional | 56 · Pre-op care only | $7.08 | $20.42 | $28.18 |
Where Minnesota sits
The same service costs 9.0 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 $4,579MT $507
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.