How much rates vary
Facilitymedian $955 · 10th to 90th $646 to $1,905Professionalmedian $708 · 10th to 90th $646 to $891
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None | $691.83 | $691.83 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,380.38 | Facility | None | $645.65 | $1,023.29 | $1,380.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $724.44 | Professional | None | $575.44 | $676.08 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $2,511.89 | Facility | None | $912.01 | $1,862.09 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | None | $707.95 | $707.95 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $2,630.27 | Facility | None | $707.95 | $1,737.80 | $2,630.27 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,288.25 | Facility | None | $691.83 | $691.83 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $2,818.38 | Professional | None | $691.83 | $758.58 | $2,818.38 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,122.02 | Professional | None | $691.83 | $724.44 | $1,122.02 |
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 $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $338.84 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 53 · Discontinued | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $70.79 |
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
$708
AK $832IN $692
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.