How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,122 to $10,471Professionalmedian $3,162 · 10th to 90th $490 to $8,511
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,995.26 | $1,995.26 | $2,344.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $9,332.54 Typical High $21,379.62 | Facility | None | $2,454.71 | $9,332.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $602.56 | Professional | None | $489.78 | $549.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $11,481.54 | Facility | None | $3,890.45 | $6,025.60 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $10,232.93 | Professional | None | $4,265.80 | $6,760.83 | $10,232.93 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,467.37 | $5,495.41 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $9,549.93 | Professional | None | $3,890.45 | $5,888.44 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,466.84 | Facility | None | $758.58 | $1,445.44 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $8,912.51 | Professional | None | $2,344.23 | $4,073.80 | $8,912.51 |
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 $1,995.26 Median $3,981.07 Typical High $7,413.10 | Professional | None | $1,995.26 | $3,981.07 | $7,413.10 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | 53 · Discontinued | $398.11 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $234.42 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $302.00 Median $338.84 Typical High $380.19 | Professional | 62 · Two surgeons | $302.00 | $338.84 | $380.19 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska than in South Carolina. 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· 8th of 51
$3,388
AK $7,413SC $1,585
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.