How much rates vary
Facilitymedian $562 · 10th to 90th $257 to $3,981Professionalmedian $209 · 10th to 90th $141 to $2,239
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,137.96 | $2,137.96 |
BCBS Setting Facility Modifier None Typical Low $251.19 Median $2,818.38 Typical High $4,466.84 | Facility | None | $251.19 | $2,818.38 | $4,466.84 |
BCBS Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $2,398.83 | Professional | None | $151.36 | $208.93 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $660.69 | Facility | None | $269.15 | $426.58 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | None | $181.97 | $190.55 | $229.09 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $660.69 | Facility | None | $239.88 | $389.05 | $660.69 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,168.69 | Facility | None | $2,238.72 | $2,238.72 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $11,748.98 | Professional | None | $2,238.72 | $2,238.72 | $11,748.98 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
9 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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $416.87 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $213.80 | $213.80 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $177.83 | $295.12 |
Where Minnesota sits
The same service costs 24.0 times more in Wyoming than in North Carolina. 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· 28th of 51
$229
WY $2,818NC $117
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.