How much rates vary
Facilitymedian $776 · 10th to 90th $95 to $5,248Professionalmedian $204 · 10th to 90th $112 to $398
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 $95.50 Median $95.50 Typical High $2,818.38 | Facility | None | $95.50 | $95.50 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None | $95.50 | $95.50 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $5,495.41 Typical High $12,302.69 | Facility | None | $2,754.23 | $5,495.41 | $12,302.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $338.84 | Professional | None | $147.91 | $199.53 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $457.09 | Facility | None | $154.88 | $239.88 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $436.52 | Professional | None | $177.83 | $275.42 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $389.05 | Facility | None | $138.04 | $223.87 | $389.05 |
Health Partners Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $380.19 | Professional | None | $154.88 | $251.19 | $380.19 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $2,137.96 Typical High $5,495.41 | Facility | None | $165.96 | $2,137.96 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $1,513.56 | Professional | None | $114.82 | $229.09 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $398.11 | Professional | None | $109.65 | $199.53 | $398.11 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 54 · Surgery only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 55 · Aftercare only | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | 54 · Surgery only | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $10.96 |
Where Minnesota sits
The same service costs 15.6 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 $4,608MT $296
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.