How much rates vary
Facilitymedian $2,239 · 10th to 90th $380 to $14,454Professionalmedian $2,344 · 10th to 90th $501 to $7,413
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 $380.19 Median $2,238.72 Typical High $2,238.72 | Facility | None | $380.19 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $2,089.30 Typical High $2,570.40 | Professional | None | $380.19 | $2,089.30 | $2,570.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,089.30 Median $8,912.51 Typical High $20,417.38 | Facility | None | $2,089.30 | $8,912.51 | $20,417.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $549.54 Median $2,238.72 Typical High $5,370.32 | Professional | None | $549.54 | $2,238.72 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $19,498.45 | Facility | None | $4,570.88 | $6,760.83 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,905.46 Typical High $6,606.93 | Professional | None | $501.19 | $1,905.46 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $15,488.17 | Facility | None | $3,890.45 | $6,456.54 | $15,488.17 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $2,290.87 Typical High $6,606.93 | Professional | None | $630.96 | $2,290.87 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $3,890.45 Typical High $12,022.64 | Facility | None | $588.84 | $3,890.45 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $7,413.10 Typical High $14,454.40 | Professional | None | $2,754.23 | $7,413.10 | $14,454.40 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $15,135.61 | Facility | None | $6,309.57 | $11,481.54 | $15,135.61 |
United Setting Professional Modifier None Typical Low $416.87 Median $1,819.70 Typical High $6,918.31 | Professional | None | $416.87 | $1,819.70 | $6,918.31 |
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 $190.55 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $190.55 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $446.68 Typical High $446.68 | Facility | 53 · Discontinued | $75.86 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $1,698.24 Typical High $1,698.24 | Facility | 54 · Surgery only | $288.40 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $57.54 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $38.02 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $1,047.13 Typical High $1,288.25 | Professional | 52 · Reduced service | $190.55 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $416.87 Typical High $512.86 | Professional | 53 · Discontinued | $75.86 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,584.89 Typical High $1,949.84 | Professional | 54 · Surgery only | $288.40 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $316.23 Typical High $389.05 | Professional | 55 · Aftercare only | $57.54 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $208.93 Typical High $257.04 | Professional | 56 · Pre-op care only | $38.02 | $208.93 | $257.04 |
Where Minnesota sits
The same service costs 6.9 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· 9th of 51
$2,344
WI $3,162HI $457
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.