How much rates vary
Facilitymedian $1,738 · 10th to 90th $195 to $6,310Professionalmedian $912 · 10th to 90th $309 to $2,570
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 $194.98 Median $758.58 Typical High $758.58 | Facility | None | $194.98 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $758.58 Typical High $891.25 | Professional | None | $194.98 | $758.58 | $891.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,890.45 Median $6,309.57 Typical High $13,182.57 | Facility | None | $3,890.45 | $6,309.57 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $1,148.15 Typical High $2,187.76 | Professional | None | $316.23 | $1,148.15 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,174.90 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,258.93 Typical High $3,235.94 | Professional | None | $426.58 | $1,258.93 | $3,235.94 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,122.02 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $1,122.02 Typical High $2,754.23 | Professional | None | $389.05 | $1,122.02 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,995.26 Typical High $6,456.54 | Facility | None | $371.54 | $1,995.26 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $2,041.74 Typical High $4,073.80 | Professional | None | $912.01 | $2,041.74 | $4,073.80 |
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 $281.84 Median $831.76 Typical High $2,691.53 | Professional | None | $281.84 | $831.76 | $2,691.53 |
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 $97.72 Median $380.19 Typical High $380.19 | Facility | 52 · Reduced service | $97.72 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $38.90 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $147.91 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $29.51 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $75.86 Typical High $75.86 | Facility | 56 · Pre-op care only | $19.50 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $97.72 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $38.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $147.91 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $29.51 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $19.50 | $75.86 | $75.86 |
Where Minnesota sits
The same service costs 3.8 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 $5,124MT $1,344
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.