How much rates vary
Facilitymedian $380 · 10th to 90th $174 to $1,380Professionalmedian $331 · 10th to 90th $174 to $661
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None | $169.82 | $173.78 | $190.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,089.30 | Facility | None | $794.33 | $1,122.02 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $575.44 | Professional | None | $245.47 | $323.59 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $870.96 | Facility | None | $288.40 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $741.31 | Professional | None | $275.42 | $467.74 | $741.31 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $724.44 | Facility | None | $257.04 | $416.87 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $707.95 | Professional | None | $245.47 | $436.52 | $707.95 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $346.74 Typical High $1,737.80 | Facility | None | $125.89 | $346.74 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $354.81 Typical High $1,659.59 | Professional | None | $194.98 | $354.81 | $1,659.59 |
United Setting Facility Modifier None Typical Low $125.89 Median $389.05 Typical High $1,778.28 | Facility | None | $125.89 | $389.05 | $1,778.28 |
United Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $660.69 | Professional | None | $186.21 | $316.23 | $660.69 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 54 · Surgery only | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 55 · Aftercare only | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 54 · Surgery only | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.78 |
Where Minnesota sits
The same service costs 20.9 times more in Alabama than in Delaware. 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
AL $7,181DE $344
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.