How much rates vary
Facilitymedian $1,288 · 10th to 90th $457 to $9,333Professionalmedian $891 · 10th to 90th $457 to $1,660
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | None | $457.09 | $457.09 | $478.63 |
BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $21,877.62 Typical High $36,307.81 | Facility | None | $11,481.54 | $21,877.62 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Facility | None | $630.96 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,778.28 | Professional | None | $724.44 | $1,122.02 | $1,778.28 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,584.89 | Facility | None | $562.34 | $912.01 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,548.82 | Professional | None | $630.96 | $1,023.29 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $5,011.87 | Facility | None | $676.08 | $2,137.96 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $3,235.94 | Professional | None | $446.68 | $831.76 | $3,235.94 |
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 $436.52 Median $776.25 Typical High $1,548.82 | Professional | None | $436.52 | $776.25 | $1,548.82 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 54 · Surgery only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | 54 · Surgery only | $338.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $47.86 |
Where Minnesota sits
The same service costs 5.9 times more in Arkansas than in New York. 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.
Minnesota· 13th of 51
$977
AR $1,995NY $339
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.