How much rates vary
Facilitymedian $339 · 10th to 90th $138 to $4,169Professionalmedian $275 · 10th to 90th $138 to $537
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 $87.10 Median $218.78 Typical High $3,715.35 | Facility | None | $87.10 | $218.78 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $213.80 | Professional | None | $87.10 | $138.04 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $5,248.07 Typical High $12,589.25 | Facility | None | $2,691.53 | $5,248.07 | $12,589.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $467.74 | Professional | None | $151.36 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $724.44 | Facility | None | $245.47 | $380.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $630.96 | Professional | None | $204.17 | $346.74 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $616.60 | Facility | None | $218.78 | $346.74 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $588.84 | Professional | None | $177.83 | $316.23 | $588.84 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $1,513.56 Typical High $4,786.30 | Facility | None | $177.83 | $1,513.56 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $707.95 | Professional | None | $194.98 | $398.11 | $707.95 |
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 $128.82 Median $269.15 Typical High $549.54 | Professional | None | $128.82 | $269.15 | $549.54 |
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 $43.65 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $43.65 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $17.38 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $66.07 Median $104.71 Typical High $104.71 | Facility | 54 · Surgery only | $66.07 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.18 Median $20.89 Typical High $20.89 | Facility | 55 · Aftercare only | $13.18 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.71 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $8.71 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $43.65 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $104.71 Typical High $114.82 | Professional | 54 · Surgery only | $66.07 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $20.89 Typical High $22.91 | Professional | 55 · Aftercare only | $13.18 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $13.80 Typical High $15.14 | Professional | 56 · Pre-op care only | $8.71 | $13.80 | $15.14 |
Where Minnesota sits
The same service costs 12.7 times more in Colorado 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
CO $4,551ND $359
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.