How much rates vary
Facilitymedian $631 · 10th to 90th $26 to $1,514Professionalmedian $224 · 10th to 90th $26 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 $25.70 Median $398.11 Typical High $398.11 | Facility | None | $25.70 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $223.87 Typical High $398.11 | Professional | None | $25.70 | $223.87 | $398.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $1,412.54 Typical High $2,630.27 | Facility | None | $537.03 | $1,412.54 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $25.70 Median $107.15 Typical High $870.96 | Professional | None | $25.70 | $107.15 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,698.24 | Facility | None | $562.34 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $295.12 Typical High $1,258.93 | Professional | None | $38.90 | $295.12 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,479.11 | Facility | None | $524.81 | $758.58 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $38.02 Median $269.15 Typical High $1,174.90 | Professional | None | $38.02 | $269.15 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $501.19 Typical High $933.25 | Facility | None | $36.31 | $501.19 | $933.25 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $295.12 Typical High $2,454.71 | Professional | None | $37.15 | $295.12 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None Typical Low $22.39 Median $75.86 Typical High $851.14 | Professional | None | $22.39 | $75.86 | $851.14 |
8 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 $12.88 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $12.88 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $5.13 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.80 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $3.80 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.51 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $2.51 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $151.36 Typical High $199.53 | Professional | 52 · Reduced service | $12.88 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $60.26 Typical High $79.43 | Professional | 53 · Discontinued | $5.13 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $44.67 Typical High $60.26 | Professional | 55 · Aftercare only | $3.80 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $30.20 Typical High $39.81 | Professional | 56 · Pre-op care only | $2.51 | $30.20 | $39.81 |
Where Minnesota sits
The same service costs 28.7 times more in Washington than in Washington, DC. 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
WA $1,537DC $53.50
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.