How much rates vary
Facilitymedian $6,761 · 10th to 90th $5,012 to $14,454Professionalmedian $5,248 · 10th to 90th $4,467 to $6,761
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 $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $5,888.44 | Professional | None | $4,677.35 | $5,888.44 | $5,888.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $10,000.00 | Facility | None | $5,011.87 | $7,413.10 | $10,000.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,981.07 Median $4,677.35 Typical High $5,011.87 | Professional | None | $3,981.07 | $4,677.35 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $13,803.84 Typical High $19,054.61 | Facility | None | $6,760.83 | $13,803.84 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,760.83 | Professional | None | $5,370.32 | $5,370.32 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $13,182.57 Typical High $19,498.45 | Facility | None | $5,370.32 | $13,182.57 | $19,498.45 |
Health Partners Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $9,772.37 | Facility | None | $2,691.53 | $3,162.28 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $4,897.79 Median $5,370.32 Typical High $23,988.33 | Professional | None | $4,897.79 | $5,370.32 | $23,988.33 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $7,943.28 | Professional | None | $4,897.79 | $5,128.61 | $7,943.28 |
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | 52 · Reduced service | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | 53 · Discontinued | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 55 · Aftercare only | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 56 · Pre-op care only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,951.21 Typical High $2,951.21 | Professional | 52 · Reduced service | $2,344.23 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $1,174.90 Typical High $1,174.90 | Professional | 53 · Discontinued | $933.25 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | 55 · Aftercare only | $707.95 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $467.74 | $588.84 | $588.84 |
Where Minnesota sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 8th of 51
$5,370
AK $7,244NC $3,981
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.