How much rates vary
Facilitymedian $1,738 · 10th to 90th $170 to $6,457Professionalmedian $851 · 10th to 90th $269 to $2,455
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 $169.82 Median $724.44 Typical High $724.44 | Facility | None | $169.82 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $676.08 Typical High $758.58 | Professional | None | $169.82 | $676.08 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $5,754.40 Typical High $13,182.57 | Facility | None | $2,691.53 | $5,754.40 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $1,000.00 Typical High $2,089.30 | Professional | None | $275.42 | $1,000.00 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,202.26 | $1,862.09 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,148.15 Typical High $3,090.30 | Professional | None | $371.54 | $1,148.15 | $3,090.30 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,737.80 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $1,047.13 Typical High $2,630.27 | Professional | None | $331.13 | $1,047.13 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,995.26 Typical High $7,762.47 | Facility | None | $316.23 | $1,995.26 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,949.84 Typical High $3,890.45 | Professional | None | $870.96 | $1,949.84 | $3,890.45 |
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 $251.19 Median $758.58 Typical High $2,630.27 | Professional | None | $251.19 | $758.58 | $2,630.27 |
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 $85.11 Median $363.08 Typical High $363.08 | Facility | 52 · Reduced service | $85.11 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $33.88 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $125.89 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $125.89 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $25.12 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $72.44 Typical High $72.44 | Facility | 56 · Pre-op care only | $16.98 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $85.11 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $144.54 Typical High $147.91 | Professional | 53 · Discontinued | $33.88 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $125.89 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $25.12 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $16.98 | $70.79 | $72.44 |
Where Minnesota sits
The same service costs 4.0 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 $5,041MT $1,267
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.