How much rates vary
Facilitymedian $1,288 · 10th to 90th $1,122 to $1,862Professionalmedian $1,259 · 10th to 90th $1,023 to $1,622
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,513.56 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,258.93 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,148.15 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,318.26 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,348.96 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $3,890.45 | Facility | None | $1,023.29 | $1,174.90 | $3,890.45 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,754.23 | Facility | None | $1,258.93 | $1,479.11 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,230.27 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,513.56 | $1,513.56 | $2,818.38 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $645.65 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $194.98 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $128.82 | $151.36 | $151.36 |
Where Minnesota sits
The same service costs 1.8 times more in Alaska 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· 28th of 51
$1,288
AK $2,042HI $1,148
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.