How much rates vary
Facilitymedian $832 · 10th to 90th $309 to $1,905Professionalmedian $1,072 · 10th to 90th $589 to $1,862
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $1,071.52 Typical High $2,238.72 | Facility | None | $407.38 | $1,071.52 | $2,238.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,621.81 | Professional | None | $794.33 | $1,071.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,187.76 | Professional | None | $891.25 | $1,380.38 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,949.84 | Facility | None | $691.83 | $1,122.02 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,905.46 | Professional | None | $776.25 | $1,258.93 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $562.34 Typical High $1,445.44 | Facility | None | $125.89 | $562.34 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,148.15 Typical High $3,715.35 | Professional | None | $602.56 | $1,148.15 | $3,715.35 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,905.46 | Professional | None | $537.03 | $1,023.29 | $1,905.46 |
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 $213.80 Median $213.80 Typical High $213.80 | Facility | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | 54 · Surgery only | $316.23 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $57.54 |
Where Minnesota sits
The same service costs 3.5 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· 4th of 51
$1,023
AK $1,479AR $427
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.