How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,660 to $12,023Professionalmedian $2,138 · 10th to 90th $331 to $3,715
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,621.81 | $1,659.59 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7,079.46 Median $13,489.63 Typical High $22,387.21 | Facility | None | $7,079.46 | $13,489.63 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $3,715.35 | Professional | None | $2,884.03 | $3,311.31 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $8,709.64 | Facility | None | $2,754.23 | $4,466.84 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $1,949.84 Typical High $2,454.71 | Professional | None | $331.13 | $1,949.84 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $7,244.36 | Facility | None | $2,570.40 | $4,168.69 | $7,244.36 |
Health Partners Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $1,949.84 | Professional | None | $323.59 | $457.09 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $4,168.69 Typical High $9,332.54 | Facility | None | $630.96 | $4,168.69 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $5,495.41 | Professional | None | $1,659.59 | $2,691.53 | $5,495.41 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $12,882.50 | Facility | None | $3,235.94 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,818.38 Typical High $5,495.41 | Professional | None | $1,659.59 | $2,818.38 | $5,495.41 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $812.83 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $323.59 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $162.18 | $165.96 | $165.96 |
Where Minnesota sits
The same service costs 9.1 times more in Oklahoma than in New York. 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· 20th of 51
$2,754
OK $10,233NY $1,122
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.