How much rates vary
Facilitymedian $16,982 · 10th to 90th $3,388 to $43,652Professionalmedian $14,125 · 10th to 90th $724 to $23,442
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16,982.44 Median $28,183.83 Typical High $54,954.09 | Facility | None | $16,982.44 | $28,183.83 | $54,954.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14,125.38 Median $15,848.93 Typical High $17,378.01 | Professional | None | $14,125.38 | $15,848.93 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $17,378.01 Median $28,840.32 Typical High $54,954.09 | Facility | None | $17,378.01 | $28,840.32 | $54,954.09 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $12,302.69 Typical High $15,488.17 | Professional | None | $724.44 | $12,302.69 | $15,488.17 |
Health Partners Setting Facility Modifier None Typical Low $16,218.10 Median $26,302.68 Typical High $45,708.82 | Facility | None | $16,218.10 | $26,302.68 | $45,708.82 |
Health Partners Setting Professional Modifier None Typical Low $724.44 Median $10,471.29 Typical High $12,302.69 | Professional | None | $724.44 | $10,471.29 | $12,302.69 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $5,370.32 Typical High $22,387.21 | Facility | None | $1,288.25 | $5,370.32 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $12,882.50 Median $19,952.62 Typical High $41,686.94 | Professional | None | $12,882.50 | $19,952.62 | $41,686.94 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
United Setting Professional Modifier None Typical Low $11,481.54 Median $19,498.45 Typical High $41,686.94 | Professional | None | $11,481.54 | $19,498.45 | $41,686.94 |
10 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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | 54 · Surgery only | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 55 · Aftercare only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 56 · Pre-op care only | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $338.84 |
Where Minnesota sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 7th of 51
$14,125
IN $18,197NE $1,096
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.