How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,175 to $7,943Professionalmedian $1,549 · 10th to 90th $708 to $2,455
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,174.90 | $1,230.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $2,570.40 | Facility | None | $1,513.56 | $1,698.24 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $5,754.40 Typical High $14,454.40 | Facility | None | $933.25 | $5,754.40 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,089.30 | $2,454.71 |
Health Partners Setting Facility Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $13,803.84 | Facility | None | $3,715.35 | $5,888.44 | $13,803.84 |
Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $7,943.28 | Facility | None | $724.44 | $1,778.28 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $3,235.94 | Professional | None | $676.08 | $831.76 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,737.80 | $2,041.74 | $2,454.71 |
United Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,621.81 | Professional | None | $562.34 | $831.76 | $1,621.81 |
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 $588.84 Median $588.84 Typical High $588.84 | Facility | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | 52 · Reduced service | $588.84 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 53 · Discontinued | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $123.03 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 6th of 51
$1,660
HI $1,778DE $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.