How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,778 to $5,129Professionalmedian $1,862 · 10th to 90th $1,479 to $2,455
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,905.46 | $1,905.46 | $1,949.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $3,630.78 | Facility | None | $1,778.28 | $2,691.53 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,659.59 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $6,760.83 | Facility | None | $2,398.83 | $4,897.79 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,137.96 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $4,677.35 Typical High $6,918.31 | Facility | None | $1,905.46 | $4,677.35 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,454.71 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,862.09 | $1,862.09 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,862.09 | $1,862.09 | $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 $954.99 Median $954.99 Typical High $954.99 | Facility | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | 52 · Reduced service | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 53 · Discontinued | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $194.98 |
Where Minnesota sits
The same service costs 2.3 times more in Texas than in Maryland. 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· 44th of 51
$1,905
TX $4,266MD $1,862
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.