How much rates vary
Facilitymedian $2,818 · 10th to 90th $2,239 to $6,457Professionalmedian $2,455 · 10th to 90th $1,995 to $2,754
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $4,677.35 Typical High $5,128.61 | Facility | None | $2,238.72 | $4,677.35 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,238.72 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $5,754.40 Typical High $7,943.28 | Facility | None | $2,818.38 | $5,754.40 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,511.89 | $2,754.23 |
Health Partners Setting Facility Modifier None Typical Low $2,238.72 Median $5,495.41 Typical High $8,128.31 | Facility | None | $2,238.72 | $5,495.41 | $8,128.31 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $3,890.45 | Facility | None | $147.91 | $190.55 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,570.40 | $2,570.40 | $3,090.30 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $3,467.37 | Professional | None | $2,630.27 | $2,754.23 | $3,467.37 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Where Minnesota sits
The same service costs 25.1 times more in Arizona than in Montana. 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· 38th of 51
$2,455
AZ $3,715MT $148
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.