How much rates vary
Facilitymedian $363 · 10th to 90th $83 to $2,138Professionalmedian $245 · 10th to 90th $129 to $457
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 $83.18 Median $138.04 Typical High $138.04 | Facility | None | $83.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $141.25 | Professional | None | $83.18 | $128.82 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $478.63 Median $1,513.56 Typical High $3,388.44 | Facility | None | $478.63 | $1,513.56 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $407.38 | Professional | None | $147.91 | $263.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $676.08 | Facility | None | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $489.78 | Professional | None | $144.54 | $281.84 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $562.34 | Facility | None | $199.53 | $323.59 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $251.19 Typical High $467.74 | Professional | None | $138.04 | $251.19 | $467.74 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $645.65 Typical High $2,570.40 | Facility | None | $147.91 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $1,023.29 | Professional | None | $165.96 | $346.74 | $1,023.29 |
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 $107.15 Median $223.87 Typical High $467.74 | Professional | None | $107.15 | $223.87 | $467.74 |
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 $41.69 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $41.69 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $16.60 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $63.10 Median $102.33 Typical High $102.33 | Facility | 54 · Surgery only | $63.10 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $12.59 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.32 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $8.32 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $41.69 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $16.60 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $95.50 Typical High $102.33 | Professional | 54 · Surgery only | $63.10 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.05 Typical High $20.42 | Professional | 55 · Aftercare only | $12.59 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.59 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.32 | $12.59 | $13.80 |
Where Minnesota sits
The same service costs 7.8 times more in New York than in North Dakota. 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 $2,820ND $362
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.