How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,023 to $5,012Professionalmedian $1,549 · 10th to 90th $1,175 to $5,012
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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $8,912.51 | Facility | None | $1,412.54 | $1,479.11 | $8,912.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,348.96 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,949.84 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,479.11 | $2,238.72 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,122.02 | $1,819.70 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,258.93 | $2,041.74 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,467.37 | Facility | None | $758.58 | $1,412.54 | $3,467.37 |
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 |
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | 54 · Surgery only | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | 54 · Surgery only | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
Where Minnesota sits
The same service costs 190.5 times more in Wisconsin than in Hawaii. 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· 11th of 51
$1,698
WI $5,623HI $29.51
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.