How much rates vary
Facilitymedian $251 · 10th to 90th $78 to $1,445Professionalmedian $151 · 10th to 90th $76 to $347
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 $77.62 Median $151.36 Typical High $151.36 | Facility | None | $77.62 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $151.36 | Professional | None | $67.61 | $100.00 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $3,388.44 | Facility | None | $389.05 | $1,445.44 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $93.33 Median $208.93 Typical High $346.74 | Professional | None | $93.33 | $208.93 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Facility | None | $218.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $186.21 | Professional | None | $75.86 | $134.90 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $549.54 | Facility | None | $194.98 | $316.23 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $144.54 | Professional | None | $75.86 | $128.82 | $144.54 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $398.11 | Facility | None | $107.15 | $181.97 | $398.11 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $831.76 | Professional | None | $141.25 | $316.23 | $831.76 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,311.31 | Facility | None | $2,344.23 | $2,511.89 | $3,311.31 |
United Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $363.08 | Professional | None | $79.43 | $169.82 | $363.08 |
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 $38.90 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $38.90 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $15.49 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $11.75 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $7.76 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | 52 · Reduced service | $35.48 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.05 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $19.05 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $14.13 Typical High $22.39 | Professional | 55 · Aftercare only | $10.72 | $14.13 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.55 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $9.55 | $15.14 |
Where Minnesota sits
The same service costs 30.6 times more in California than in Kentucky. 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
CA $5,736KY $187
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.