How much rates vary
Facilitymedian $2,089 · 10th to 90th $245 to $6,310Professionalmedian $1,288 · 10th to 90th $372 to $3,890
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 $245.47 Median $1,122.02 Typical High $1,122.02 | Facility | None | $245.47 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $1,122.02 Typical High $1,174.90 | Professional | None | $245.47 | $1,122.02 | $1,174.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $616.60 Median $5,623.41 Typical High $13,182.57 | Facility | None | $616.60 | $5,623.41 | $13,182.57 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $6,918.31 Median $12,882.50 Typical High $22,908.68 | Facility | 50 · Both sides | $6,918.31 | $12,882.50 | $22,908.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $416.87 Median $1,479.11 Typical High $3,235.94 | Professional | None | $416.87 | $1,479.11 | $3,235.94 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $2,238.72 Typical High $4,897.79 | Professional | 50 · Both sides | $630.96 | $2,238.72 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $5,495.41 | Facility | None | $1,737.80 | $2,884.03 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,698.24 Typical High $4,677.35 | Professional | None | $549.54 | $1,698.24 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,621.81 | $2,630.27 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $1,659.59 Typical High $4,073.80 | Professional | None | $489.78 | $1,659.59 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,041.74 Typical High $4,786.30 | Facility | None | $426.58 | $2,041.74 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $3,090.30 Typical High $6,165.95 | Professional | None | $1,412.54 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,317.64 | Facility | None | $1,513.56 | $2,511.89 | $8,317.64 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,174.90 Typical High $4,073.80 | Professional | None | $371.54 | $1,174.90 | $4,073.80 |
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 $123.03 Median $562.34 Typical High $562.34 | Facility | 52 · Reduced service | $123.03 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $223.87 Typical High $223.87 | Facility | 53 · Discontinued | $48.98 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $186.21 Median $851.14 Typical High $851.14 | Facility | 54 · Surgery only | $186.21 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $37.15 Median $169.82 Typical High $169.82 | Facility | 55 · Aftercare only | $37.15 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $112.20 Typical High $112.20 | Facility | 56 · Pre-op care only | $24.55 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $123.03 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $48.98 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $186.21 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $37.15 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $24.55 | $112.20 | $112.20 |
Where Minnesota sits
The same service costs 3.2 times more in Oklahoma than in Kentucky. 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
OK $6,075KY $1,891
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.