How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,630 to $5,370Professionalmedian $2,951 · 10th to 90th $2,692 to $3,715
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,884.03 | $2,884.03 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $5,370.32 | Facility | None | $2,630.27 | $4,168.69 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,818.38 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $8,912.51 | Facility | None | $3,388.44 | $4,168.69 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,019.95 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $10,715.19 | Facility | None | $3,235.94 | $3,715.35 | $10,715.19 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $6,606.93 | Facility | None | $2,691.53 | $4,570.88 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $11,748.98 | Professional | None | $2,691.53 | $3,019.95 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,818.38 | $2,951.21 | $4,570.88 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 53 · Discontinued | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $295.12 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 14th of 51
$2,951
AK $3,548UT $2,884
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.