How much rates vary
Facilitymedian $776 · 10th to 90th $251 to $3,467Professionalmedian $513 · 10th to 90th $251 to $977
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $630.96 Median $2,630.27 Typical High $6,165.95 | Facility | None | $630.96 | $2,630.27 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $851.14 | Professional | None | $380.19 | $512.86 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,258.93 | Facility | None | $416.87 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,071.52 | Professional | None | $398.11 | $676.08 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,047.13 | Facility | None | $371.54 | $602.56 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $1,023.29 | Professional | None | $354.81 | $630.96 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,230.27 Typical High $3,890.45 | Facility | None | $446.68 | $1,230.27 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $4,073.80 | Professional | None | $288.40 | $549.54 | $4,073.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,265.80 | Facility | None | $776.25 | $1,659.59 | $4,265.80 |
United Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $954.99 | Professional | None | $269.15 | $478.63 | $954.99 |
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 $125.89 Median $125.89 Typical High $125.89 | Facility | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 54 · Surgery only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 56 · Pre-op care only | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $190.55 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $29.51 |
Where Minnesota sits
The same service costs 6.0 times more in Colorado 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
CO $4,737MT $787
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.