How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,259 to $2,630Professionalmedian $1,288 · 10th to 90th $1,259 to $1,622
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,258.93 | $1,288.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,630.27 | Facility | None | $1,445.44 | $2,187.76 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,348.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $4,073.80 | Facility | None | $1,659.59 | $2,041.74 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,318.26 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $5,011.87 | Facility | None | $1,584.89 | $1,819.70 | $5,011.87 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,344.23 | Facility | None | $660.69 | $1,148.15 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $6,165.95 | Professional | None | $1,380.38 | $1,548.82 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,348.96 | $2,089.30 |
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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | 52 · Reduced service | $616.60 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | 53 · Discontinued | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $128.82 |
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· 20th of 51
$1,288
AK $1,698FL $1,259
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.