How much rates vary
Facilitymedian $2,399 · 10th to 90th $661 to $22,387Professionalmedian $1,380 · 10th to 90th $813 to $2,291
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 $660.69 Median $660.69 Typical High $3,801.89 | Facility | None | $660.69 | $660.69 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14,791.08 Median $24,547.09 Typical High $48,977.88 | Facility | None | $14,791.08 | $24,547.09 | $48,977.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,238.72 | Professional | None | $933.25 | $1,380.38 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $2,951.21 | Facility | None | $977.24 | $1,513.56 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,659.59 | $2,511.89 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $2,454.71 | Facility | None | $870.96 | $1,412.54 | $2,454.71 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,479.11 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $4,897.79 Typical High $12,022.64 | Facility | None | $1,096.48 | $4,897.79 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $2,290.87 | Professional | None | $812.83 | $1,288.25 | $2,290.87 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,398.83 | Professional | None | $758.58 | $1,288.25 | $2,398.83 |
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 $331.13 Median $331.13 Typical High $331.13 | Facility | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Where Minnesota sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.