How much rates vary
Facilitymedian $204 · 10th to 90th $72 to $1,660Professionalmedian $158 · 10th to 90th $79 to $302
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $446.68 | Facility | None | $158.49 | $199.53 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $257.04 | Professional | None | $125.89 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $79.43 Median $100.00 Typical High $162.18 | Professional | 62 · Two surgeons | $79.43 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $371.54 | Facility | None | $123.03 | $190.55 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $302.00 | Professional | None | $114.82 | $177.83 | $302.00 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $309.03 | Facility | None | $109.65 | $177.83 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $275.42 | Professional | None | $125.89 | $165.96 | $275.42 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $1,148.15 Typical High $3,019.95 | Facility | None | $131.83 | $1,148.15 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $588.84 | Professional | None | $89.13 | $173.78 | $588.84 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $302.00 | Professional | None | $87.10 | $141.25 | $302.00 |
2 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 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 54 · Surgery only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | 54 · Surgery only | $53.70 | $53.70 | $74.13 |
Where Minnesota sits
The same service costs 25.4 times more in Alabama 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
AL $6,554MT $258
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.