How much rates vary
Facilitymedian $417 · 10th to 90th $166 to $1,479Professionalmedian $417 · 10th to 90th $234 to $724
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None | $165.96 | $165.96 | $223.87 |
BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,096.48 Typical High $7,244.36 | Facility | None | $407.38 | $1,096.48 | $7,244.36 |
BCBS Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $630.96 | Professional | None | $302.00 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $891.25 | Facility | None | $302.00 | $467.74 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $851.14 | Professional | None | $338.84 | $537.03 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $758.58 | Facility | None | $269.15 | $426.58 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $741.31 | Professional | None | $302.00 | $489.78 | $741.31 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $1,288.25 | Facility | None | $125.89 | $346.74 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $1,513.56 | Professional | None | $245.47 | $436.52 | $1,513.56 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $229.09 Median $398.11 Typical High $741.31 | Professional | None | $229.09 | $398.11 | $741.31 |
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 $81.28 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 54 · Surgery only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 55 · Aftercare only | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 56 · Pre-op care only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $165.96 | Professional | 54 · Surgery only | $123.03 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $22.39 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $22.39 |
Where Minnesota sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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· 5th of 51
$417
OK $631TX $195
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.