How much rates vary
Facilitymedian $1,738 · 10th to 90th $110 to $4,571Professionalmedian $1,202 · 10th to 90th $170 to $3,802
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 $109.65 Median $1,202.26 Typical High $1,202.26 | Facility | None | $109.65 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $954.99 Typical High $1,348.96 | Professional | None | $109.65 | $954.99 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,288.25 Median $2,691.53 Typical High $6,165.95 | Facility | None | $1,288.25 | $2,691.53 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $870.96 Typical High $3,235.94 | Professional | None | $181.97 | $870.96 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,162.28 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $794.33 Typical High $4,168.69 | Professional | None | $204.17 | $794.33 | $4,168.69 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $5,128.61 | Facility | None | $1,819.70 | $2,951.21 | $5,128.61 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $1,737.80 Typical High $3,890.45 | Professional | None | $190.55 | $1,737.80 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $954.99 Typical High $2,884.03 | Facility | None | $218.78 | $954.99 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $3,388.44 Typical High $9,120.11 | Professional | None | $1,230.27 | $3,388.44 | $9,120.11 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,548.13 | Facility | None | $549.54 | $1,000.00 | $3,548.13 |
United Setting Professional Modifier None Typical Low $138.04 Median $891.25 Typical High $3,630.78 | Professional | None | $138.04 | $891.25 | $3,630.78 |
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 $54.95 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $54.95 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $21.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $83.18 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $16.60 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $120.23 Typical High $120.23 | Facility | 56 · Pre-op care only | $10.96 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $501.19 Typical High $630.96 | Professional | 52 · Reduced service | $54.95 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $199.53 Typical High $251.19 | Professional | 53 · Discontinued | $21.88 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $758.58 Typical High $954.99 | Professional | 54 · Surgery only | $83.18 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $151.36 Typical High $190.55 | Professional | 55 · Aftercare only | $16.60 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $100.00 Typical High $125.89 | Professional | 56 · Pre-op care only | $10.96 | $100.00 | $125.89 |
Where Minnesota sits
The same service costs 5.5 times more in Hawaii 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
HI $4,440MD $808
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.