How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,047 to $7,762Professionalmedian $4,074 · 10th to 90th $3,020 to $6,457
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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $6,456.54 Typical High $6,456.54 | Professional | None | $1,995.26 | $6,456.54 | $6,456.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $24,547.09 | Facility | None | $3,890.45 | $4,073.80 | $24,547.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,311.31 | $3,715.35 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,019.95 | $4,677.35 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $7,585.78 | Professional | None | $3,019.95 | $4,466.84 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,691.53 | $4,265.80 | $7,413.10 |
Health Partners Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $6,606.93 | Professional | None | $3,019.95 | $4,073.80 | $6,606.93 |
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 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
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 $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | 52 · Reduced service | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 53 · Discontinued | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | 54 · Surgery only | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 55 · Aftercare only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 56 · Pre-op care only | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $3,235.94 Typical High $3,235.94 | Professional | 52 · Reduced service | $1,000.00 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $1,288.25 Typical High $1,288.25 | Professional | 53 · Discontinued | $398.11 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $4,786.30 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,479.11 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $954.99 Typical High $954.99 | Professional | 55 · Aftercare only | $295.12 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $645.65 Typical High $645.65 | Professional | 56 · Pre-op care only | $199.53 | $645.65 | $645.65 |
Where Minnesota sits
The same service costs 218.8 times more in Alabama 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· 8th of 51
$4,074
AL $6,457HI $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.