How much rates vary
Facilitymedian $457 · 10th to 90th $115 to $2,884Professionalmedian $380 · 10th to 90th $166 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 $114.82 Median $257.04 Typical High $257.04 | Facility | None | $114.82 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $288.40 | Professional | None | $114.82 | $234.42 | $288.40 |
BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $3,630.78 | Facility | None | $1,047.13 | $1,862.09 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $181.97 Median $398.11 Typical High $741.31 | Professional | None | $181.97 | $398.11 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $870.96 Typical High $2,570.40 | Facility | None | $588.84 | $870.96 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $371.54 Typical High $870.96 | Professional | None | $158.49 | $371.54 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,995.26 | Facility | None | $512.86 | $851.14 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $426.58 Typical High $851.14 | Professional | None | $218.78 | $426.58 | $851.14 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $2,951.21 | Facility | None | $194.98 | $457.09 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $977.24 Typical High $2,454.71 | Professional | None | $323.59 | $977.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $4,265.80 | Facility | None | $1,995.26 | $3,162.28 | $4,265.80 |
United Setting Professional Modifier None Typical Low $141.25 Median $338.84 Typical High $831.76 | Professional | None | $141.25 | $338.84 | $831.76 |
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 $57.54 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $57.54 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $22.91 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $87.10 Median $194.98 Typical High $194.98 | Facility | 54 · Surgery only | $87.10 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $38.90 Typical High $38.90 | Facility | 55 · Aftercare only | $17.38 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $25.70 Typical High $25.70 | Facility | 56 · Pre-op care only | $11.48 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $57.54 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $22.91 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $177.83 Typical High $213.80 | Professional | 54 · Surgery only | $87.10 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $35.48 Typical High $42.66 | Professional | 55 · Aftercare only | $17.38 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $23.44 Typical High $28.84 | Professional | 56 · Pre-op care only | $11.48 | $23.44 | $28.84 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Virginia. 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
$380
AK $525VA $155
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.