How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,259 to $4,266Professionalmedian $1,259 · 10th to 90th $1,047 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 $1,258.93 Median $3,311.31 Typical High $4,365.16 | Facility | None | $1,258.93 | $3,311.31 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,258.93 | $1,905.46 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,230.27 | $2,454.71 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,174.90 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $4,265.80 | Facility | None | $1,513.56 | $3,090.30 | $4,265.80 |
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 $1,174.90 Median $2,884.03 Typical High $4,365.16 | Facility | None | $1,174.90 | $2,884.03 | $4,365.16 |
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 $416.87 Median $1,621.81 Typical High $2,398.83 | Facility | None | $416.87 | $1,621.81 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,202.26 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,258.93 | $2,398.83 |
10 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 $630.96 Median $630.96 Typical High $630.96 | Facility | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Minnesota sits
The same service costs 2.9 times more in Minnesota than in Alabama. 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· 1st of 51
$2,239
MN $2,239AL $776
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.