How much rates vary
Facilitymedian $1,778 · 10th to 90th $178 to $3,802Professionalmedian $891 · 10th to 90th $269 to $2,754
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 $177.83 Median $831.76 Typical High $3,715.35 | Facility | None | $177.83 | $831.76 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $812.83 Typical High $954.99 | Professional | None | $177.83 | $812.83 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $6,165.95 | Facility | None | $1,659.59 | $2,884.03 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $288.40 Median $1,096.48 Typical High $2,290.87 | Professional | None | $288.40 | $1,096.48 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,348.96 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $933.25 Typical High $2,884.03 | Professional | None | $331.13 | $933.25 | $2,884.03 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,288.25 | $2,089.30 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $1,258.93 Typical High $2,691.53 | Professional | None | $309.03 | $1,258.93 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $1,318.26 Typical High $3,467.37 | Facility | None | $331.13 | $1,318.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $2,511.89 Typical High $6,456.54 | Professional | None | $954.99 | $2,511.89 | $6,456.54 |
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 $229.09 Median $812.83 Typical High $2,691.53 | Professional | None | $229.09 | $812.83 | $2,691.53 |
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 $89.13 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $89.13 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $169.82 Typical High $169.82 | Facility | 53 · Discontinued | $35.48 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $630.96 Typical High $630.96 | Facility | 54 · Surgery only | $134.90 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $125.89 Typical High $125.89 | Facility | 55 · Aftercare only | $26.92 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.78 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $17.78 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $407.38 Typical High $478.63 | Professional | 52 · Reduced service | $89.13 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $162.18 Typical High $190.55 | Professional | 53 · Discontinued | $35.48 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $616.60 Typical High $707.95 | Professional | 54 · Surgery only | $134.90 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $123.03 Typical High $141.25 | Professional | 55 · Aftercare only | $26.92 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $81.28 Typical High $95.50 | Professional | 56 · Pre-op care only | $17.78 | $81.28 | $95.50 |
Where Minnesota sits
The same service costs 5.2 times more in Colorado 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
CO $5,090MD $977
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.