How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,820 to $5,012Professionalmedian $1,905 · 10th to 90th $1,445 to $2,399
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 $1,905.46 | Professional | None | $1,862.09 | $1,862.09 | $1,905.46 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $3,630.78 | Facility | None | $1,819.70 | $2,691.53 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,621.81 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $6,606.93 | Facility | None | $2,398.83 | $4,897.79 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,905.46 | $2,089.30 | $2,398.83 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $4,570.88 Typical High $6,918.31 | Facility | None | $1,862.09 | $4,570.88 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $3,090.30 | Facility | None | $891.25 | $1,096.48 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,819.70 | $2,041.74 | $3,311.31 |
United 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 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,819.70 | $2,041.74 | $3,801.89 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
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 $954.99 | Professional | 52 · Reduced service | $933.25 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 53 · Discontinued | $371.54 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $190.55 |
Where Minnesota sits
The same service costs 3.2 times more in Alabama 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· 26th of 51
$1,905
AL $5,623HI $1,738
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.