How much rates vary
Facilitymedian $10,471 · 10th to 90th $891 to $17,378Professionalmedian $7,762 · 10th to 90th $447 to $10,471
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 $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $10,471.29 Typical High $10,471.29 | Professional | None | $8,511.38 | $10,471.29 | $10,471.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,128.31 Median $12,882.50 Typical High $17,378.01 | Facility | None | $8,128.31 | $12,882.50 | $17,378.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7,244.36 Median $8,511.38 Typical High $8,912.51 | Professional | None | $7,244.36 | $8,511.38 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $1,621.81 | Facility | None | $575.44 | $1,174.90 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $562.34 | Professional | None | $446.68 | $501.19 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $1,122.02 Typical High $1,659.59 | Facility | None | $457.09 | $1,122.02 | $1,659.59 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $16,982.44 | Facility | None | $371.54 | $549.54 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $8,511.38 Median $9,332.54 Typical High $37,153.52 | Professional | None | $8,511.38 | $9,332.54 | $37,153.52 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $9,332.54 Typical High $14,454.40 | Professional | None | $8,709.64 | $9,332.54 | $14,454.40 |
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | 52 · Reduced service | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | 53 · Discontinued | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 55 · Aftercare only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 56 · Pre-op care only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4,265.80 Median $5,248.07 Typical High $5,248.07 | Professional | 52 · Reduced service | $4,265.80 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | 53 · Discontinued | $1,698.24 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,258.93 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $851.14 | $1,047.13 | $1,047.13 |
Where Minnesota sits
The same service costs 26.3 times more in Alaska 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· 50th of 51
$8,128
AK $12,303MT $468
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.