How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,122 to $16,218Professionalmedian $3,981 · 10th to 90th $1,413 to $14,791
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,818.38 Median $9,332.54 Typical High $21,379.62 | Facility | None | $2,818.38 | $9,332.54 | $21,379.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $588.84 Median $1,412.54 Typical High $1,778.28 | Professional | None | $588.84 | $1,412.54 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $10,232.93 Typical High $19,952.62 | Facility | None | $6,606.93 | $10,232.93 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $7,413.10 Median $11,481.54 Typical High $17,378.01 | Professional | None | $7,413.10 | $11,481.54 | $17,378.01 |
Health Partners Setting Facility Modifier None Typical Low $5,888.44 Median $9,549.93 Typical High $16,595.87 | Facility | None | $5,888.44 | $9,549.93 | $16,595.87 |
Health Partners Setting Professional Modifier None Typical Low $6,760.83 Median $10,000.00 Typical High $16,595.87 | Professional | None | $6,760.83 | $10,000.00 | $16,595.87 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,079.46 | Facility | None | $758.58 | $1,445.44 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $5,623.41 Typical High $15,488.17 | Professional | None | $2,884.03 | $5,623.41 | $15,488.17 |
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 $2,290.87 Median $5,754.40 Typical High $12,302.69 | Professional | None | $2,290.87 | $5,754.40 | $12,302.69 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 53 · Discontinued | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | 53 · Discontinued | $467.74 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $275.42 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $416.87 Median $891.25 Typical High $1,122.02 | Professional | 62 · Two surgeons | $416.87 | $891.25 | $1,122.02 |
Where Minnesota sits
The same service costs 5.6 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· 7th of 51
$4,169
AK $9,550SC $1,698
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.