How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,047 to $8,710Professionalmedian $2,188 · 10th to 90th $275 to $5,754
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 $1,659.59 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,659.59 | $1,949.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $9,332.54 Typical High $21,379.62 | Facility | None | $1,380.38 | $9,332.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | None | $275.42 | $309.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,570.40 | $3,981.07 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $6,760.83 | Professional | None | $3,019.95 | $4,466.84 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $6,309.57 | Facility | None | $2,238.72 | $3,630.78 | $6,309.57 |
Health Partners Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,570.40 | $3,890.45 | $6,309.57 |
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 $2,884.03 Typical High $5,888.44 | Professional | None | $1,819.70 | $2,884.03 | $5,888.44 |
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 $1,621.81 Median $2,884.03 Typical High $5,754.40 | Professional | None | $1,621.81 | $2,884.03 | $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 $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 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
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 $831.76 Median $831.76 Typical High $977.24 | Professional | 52 · Reduced service | $831.76 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $389.05 | Professional | 53 · Discontinued | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $194.98 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $169.82 Median $194.98 Typical High $213.80 | Professional | 62 · Two surgeons | $169.82 | $194.98 | $213.80 |
Where Minnesota sits
The same service costs 4.7 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· 11th of 51
$2,344
AK $6,166AR $1,318
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.