How much rates vary
Facilitymedian $1,862 · 10th to 90th $724 to $5,248Professionalmedian $1,738 · 10th to 90th $1,413 to $2,188
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,862.09 | $1,995.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $3,467.37 | Facility | None | $707.95 | $870.96 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,412.54 | $1,584.89 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $6,606.93 | Facility | None | $2,344.23 | $4,786.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,737.80 | $1,949.84 | $2,187.76 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $4,570.88 Typical High $6,760.83 | Facility | None | $1,862.09 | $4,570.88 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,187.76 Typical High $3,162.28 | Facility | None | $724.44 | $2,187.76 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,041.74 | $2,630.27 |
8 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 $933.25 Median $933.25 Typical High $933.25 | Facility | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Where Minnesota sits
The same service costs 1.9 times more in Arizona 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· 30th of 51
$1,862
AZ $2,818HI $1,514
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.