How much rates vary
Facilitymedian $1,096 · 10th to 90th $275 to $7,586Professionalmedian $776 · 10th to 90th $417 to $1,514
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 $275.42 Median $416.87 Typical High $7,585.78 | Facility | None | $275.42 | $416.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $446.68 | Professional | None | $275.42 | $416.87 | $446.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $6,165.95 Typical High $13,182.57 | Facility | None | $3,162.28 | $6,165.95 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $1,318.26 | Professional | None | $457.09 | $776.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Facility | None | $691.83 | $1,071.52 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,819.70 | Professional | None | $616.60 | $1,000.00 | $1,819.70 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,737.80 | Facility | None | $616.60 | $1,000.00 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $549.54 Median $912.01 Typical High $1,659.59 | Professional | None | $549.54 | $912.01 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $3,467.37 | Facility | None | $512.86 | $1,202.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,096.48 Typical High $2,187.76 | Professional | None | $478.63 | $1,096.48 | $2,187.76 |
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 $380.19 Median $707.95 Typical High $1,479.11 | Professional | None | $380.19 | $707.95 | $1,479.11 |
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 $138.04 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $138.04 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $56.23 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $208.93 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $41.69 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $27.54 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $27.54 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $138.04 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $208.93 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $27.54 | $41.69 | $42.66 |
Where Minnesota sits
The same service costs 5.9 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 $5,907MT $994
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.