How much rates vary
Facilitymedian $4,786 · 10th to 90th $234 to $11,220Professionalmedian $2,692 · 10th to 90th $372 to $9,550
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 $234.42 Median $2,691.53 Typical High $5,011.87 | Facility | None | $234.42 | $2,691.53 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $2,454.71 Typical High $3,235.94 | Professional | None | $234.42 | $2,454.71 | $3,235.94 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $9,549.93 Typical High $22,387.21 | Facility | None | $1,380.38 | $9,549.93 | $22,387.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $371.54 Median $1,513.56 Typical High $7,762.47 | Professional | None | $371.54 | $1,513.56 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,079.46 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,621.81 Typical High $11,748.98 | Professional | None | $524.81 | $1,621.81 | $11,748.98 |
Health Partners Setting Facility Modifier None Typical Low $4,073.80 Median $6,456.54 Typical High $11,220.18 | Facility | None | $4,073.80 | $6,456.54 | $11,220.18 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $2,691.53 Typical High $10,000.00 | Professional | None | $467.74 | $2,691.53 | $10,000.00 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $4,073.80 Typical High $7,943.28 | Facility | None | $416.87 | $4,073.80 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $6,918.31 Typical High $20,417.38 | Professional | None | $1,995.26 | $6,918.31 | $20,417.38 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $11,220.18 | Facility | None | $2,818.38 | $4,265.80 | $11,220.18 |
United Setting Professional Modifier None Typical Low $346.74 Median $1,659.59 Typical High $12,302.69 | Professional | None | $346.74 | $1,659.59 | $12,302.69 |
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 $117.49 Median $1,348.96 Typical High $1,348.96 | Facility | 52 · Reduced service | $117.49 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $537.03 Typical High $537.03 | Facility | 53 · Discontinued | $46.77 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $173.78 Median $2,041.74 Typical High $2,041.74 | Facility | 54 · Surgery only | $173.78 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $34.67 Median $407.38 Typical High $407.38 | Facility | 55 · Aftercare only | $34.67 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $269.15 Typical High $269.15 | Facility | 56 · Pre-op care only | $23.44 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $1,230.27 Typical High $1,348.96 | Professional | 52 · Reduced service | $117.49 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $489.78 Typical High $537.03 | Professional | 53 · Discontinued | $46.77 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $1,862.09 Typical High $2,041.74 | Professional | 54 · Surgery only | $173.78 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $371.54 Typical High $407.38 | Professional | 55 · Aftercare only | $34.67 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $245.47 Typical High $269.15 | Professional | 56 · Pre-op care only | $23.44 | $245.47 | $269.15 |
Where Minnesota sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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
$3,631
AK $5,248NE $468
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.