How much rates vary
Facilitymedian $7,079 · 10th to 90th $4,786 to $13,490Professionalmedian $5,012 · 10th to 90th $4,786 to $6,310
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,890.45 | $4,786.30 | $4,786.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,370.32 Median $8,128.31 Typical High $10,715.19 | Facility | None | $5,370.32 | $8,128.31 | $10,715.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,370.32 | Professional | None | $4,365.16 | $5,128.61 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $13,182.57 Typical High $18,197.01 | Facility | None | $6,456.54 | $13,182.57 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,309.57 | Professional | None | $5,011.87 | $5,011.87 | $6,309.57 |
Health Partners Setting Facility Modifier None Typical Low $5,128.61 Median $12,589.25 Typical High $18,620.87 | Facility | None | $5,128.61 | $12,589.25 | $18,620.87 |
Health Partners Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $8,128.31 | Facility | None | $3,162.28 | $5,011.87 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $10,471.29 | Professional | None | $5,623.41 | $6,025.60 | $10,471.29 |
United Setting Professional Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $9,332.54 | Professional | None | $5,623.41 | $6,025.60 | $9,332.54 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | 52 · Reduced service | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 53 · Discontinued | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 55 · Aftercare only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 56 · Pre-op care only | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,949.84 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $776.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $575.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $389.05 | $478.63 | $478.63 |
Where Minnesota sits
The same service costs 1.5 times more in Alaska than in Idaho. 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· 21st of 51
$5,012
AK $6,457ID $4,169
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.