How much rates vary
Facilitymedian $398 · 10th to 90th $68 to $1,148Professionalmedian $200 · 10th to 90th $93 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 $54.95 Median $630.96 Typical High $1,148.15 | Facility | None | $54.95 | $630.96 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $120.23 | Professional | None | $54.95 | $83.18 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $1,479.11 | Facility | None | $407.38 | $758.58 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $363.08 | Professional | None | $107.15 | $213.80 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Facility | None | $213.80 | $331.13 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $549.54 | Professional | None | $134.90 | $269.15 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $537.03 | Facility | None | $190.55 | $309.03 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $478.63 | Professional | None | $123.03 | $234.42 | $478.63 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $295.12 Typical High $1,230.27 | Facility | None | $107.15 | $295.12 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $229.09 Typical High $436.52 | Professional | None | $100.00 | $229.09 | $436.52 |
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 $63.10 Median $128.82 Typical High $316.23 | Professional | None | $63.10 | $128.82 | $316.23 |
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 $27.54 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $27.54 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $10.96 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $40.74 Median $87.10 Typical High $87.10 | Facility | 54 · Surgery only | $40.74 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $8.32 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $11.75 Typical High $11.75 | Facility | 56 · Pre-op care only | $5.50 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $27.54 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $10.96 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $66.07 Typical High $87.10 | Professional | 54 · Surgery only | $40.74 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $13.18 Typical High $17.38 | Professional | 55 · Aftercare only | $8.32 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.91 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.50 | $8.91 | $11.75 |
Where Minnesota sits
The same service costs 16.4 times more in Connecticut than in Kentucky. 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
CT $2,728KY $166
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.