How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,148 to $15,136Professionalmedian $2,512 · 10th to 90th $1,318 to $3,981
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,318.26 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12,882.50 Median $20,417.38 Typical High $38,018.94 | Facility | None | $12,882.50 | $20,417.38 | $38,018.94 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,311.31 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,760.83 | Facility | None | $2,290.87 | $3,548.13 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,621.81 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,623.41 | Facility | None | $1,995.26 | $3,235.94 | $5,623.41 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,467.37 | Facility | None | $758.58 | $1,445.44 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,819.70 | $2,818.38 | $5,754.40 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,818.38 Typical High $5,754.40 | Professional | None | $1,584.89 | $2,818.38 | $5,754.40 |
11 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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | 54 · Surgery only | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $645.65 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $954.99 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $190.55 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $128.82 | $131.83 | $131.83 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,819.70 Median $2,041.74 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,819.70 | $2,041.74 | $2,290.87 |
Where Minnesota sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 5th of 51
$2,570
AK $5,888AR $871
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.