How much rates vary
Facilitymedian $1,905 · 10th to 90th $339 to $8,318Professionalmedian $1,259 · 10th to 90th $525 to $2,884
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 $338.84 Median $870.96 Typical High $8,317.64 | Facility | None | $338.84 | $870.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $870.96 Typical High $1,023.29 | Professional | None | $338.84 | $870.96 | $1,023.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $7,943.28 Typical High $13,182.57 | Facility | None | $4,570.88 | $7,943.28 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $1,412.54 Typical High $2,511.89 | Professional | None | $549.54 | $1,412.54 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,265.80 | Facility | None | $1,412.54 | $2,187.76 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,584.89 Typical High $3,630.78 | Professional | None | $741.31 | $1,584.89 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Facility | None | $1,258.93 | $2,041.74 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $3,162.28 | Professional | None | $660.69 | $1,412.54 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,995.26 Typical High $5,011.87 | Facility | None | $660.69 | $1,995.26 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,047.13 | $2,344.23 | $4,677.35 |
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 $489.78 Median $1,258.93 Typical High $3,090.30 | Professional | None | $489.78 | $1,258.93 | $3,090.30 |
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 $165.96 Median $436.52 Typical High $436.52 | Facility | 52 · Reduced service | $165.96 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $173.78 Typical High $173.78 | Facility | 53 · Discontinued | $67.61 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $645.65 Typical High $645.65 | Facility | 54 · Surgery only | $251.19 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $128.82 Typical High $128.82 | Facility | 55 · Aftercare only | $50.12 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $87.10 Typical High $87.10 | Facility | 56 · Pre-op care only | $33.88 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $165.96 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $67.61 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $251.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $50.12 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $33.88 | $87.10 | $87.10 |
Where Minnesota sits
The same service costs 3.7 times more in Wisconsin than in North Dakota. 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
WI $6,561ND $1,783
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.