How much rates vary
Facilitymedian $347 · 10th to 90th $105 to $2,089Professionalmedian $240 · 10th to 90th $126 to $437
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | None | $104.71 | $104.71 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $1,148.15 Typical High $2,630.27 | Facility | None | $251.19 | $1,148.15 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $398.11 | Professional | None | $177.83 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $512.86 | Facility | None | $173.78 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $489.78 | Professional | None | $204.17 | $309.03 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $436.52 | Facility | None | $154.88 | $251.19 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $426.58 | Professional | None | $173.78 | $281.84 | $426.58 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $776.25 Typical High $2,630.27 | Facility | None | $186.21 | $776.25 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $229.09 Typical High $912.01 | Professional | None | $125.89 | $229.09 | $912.01 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $446.68 | Professional | None | $120.23 | $213.80 | $446.68 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 54 · Surgery only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $52.48 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | 54 · Surgery only | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $17.78 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $11.75 |
Where Minnesota sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.