How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,754 to $16,982Professionalmedian $3,548 · 10th to 90th $1,585 to $5,623
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,754.23 | $3,235.94 | $3,235.94 |
BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $5,888.44 | Facility | None | $3,467.37 | $3,801.89 | $5,888.44 |
BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $12,882.50 Typical High $33,113.11 | Facility | None | $2,454.71 | $12,882.50 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $5,623.41 | Professional | None | $4,466.84 | $4,677.35 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $8,317.64 Median $13,182.57 Typical High $31,622.78 | Facility | None | $8,317.64 | $13,182.57 | $31,622.78 |
Health Partners Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,801.89 Typical High $16,982.44 | Facility | None | $1,479.11 | $3,801.89 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $19,054.61 | Professional | None | $1,348.96 | $2,398.83 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,698.24 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,230.27 | $1,905.46 | $3,311.31 |
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 53 · Discontinued | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 55 · Aftercare only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 56 · Pre-op care only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,380.38 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $416.87 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $275.42 | $323.59 | $323.59 |
Where Minnesota sits
The same service costs 2.4 times more in Hawaii 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.
Minnesota· 4th of 51
$3,715
HI $4,365DE $1,820
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.