How much rates vary
Facilitymedian $1,318 · 10th to 90th $65 to $3,631Professionalmedian $550 · 10th to 90th $100 to $1,820
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 $64.57 Median $549.54 Typical High $2,884.03 | Facility | None | $64.57 | $549.54 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $512.86 Typical High $616.60 | Professional | None | $64.57 | $512.86 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,513.56 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,513.56 | $3,162.28 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $478.63 Typical High $1,513.56 | Professional | None | $104.71 | $478.63 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,818.38 | Facility | None | $954.99 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $467.74 Typical High $1,905.46 | Professional | None | $120.23 | $467.74 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $2,398.83 | Facility | None | $851.14 | $1,380.38 | $2,398.83 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $457.09 Typical High $1,778.28 | Professional | None | $112.20 | $457.09 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $1,230.27 Typical High $3,467.37 | Facility | None | $117.49 | $1,230.27 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,778.28 Typical High $4,265.80 | Professional | None | $645.65 | $1,778.28 | $4,265.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $81.28 Median $467.74 Typical High $1,819.70 | Professional | None | $81.28 | $467.74 | $1,819.70 |
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 $32.36 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $32.36 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $12.88 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $47.86 Median $416.87 Typical High $416.87 | Facility | 54 · Surgery only | $47.86 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.55 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $9.55 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $269.15 Typical High $309.03 | Professional | 52 · Reduced service | $32.36 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $107.15 Typical High $125.89 | Professional | 53 · Discontinued | $12.88 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $398.11 Typical High $467.74 | Professional | 54 · Surgery only | $47.86 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $81.28 Typical High $93.33 | Professional | 55 · Aftercare only | $9.55 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $53.70 Typical High $61.66 | Professional | 56 · Pre-op care only | $6.46 | $53.70 | $61.66 |
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 $4,728MT $843
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.