How much rates vary
Facilitymedian $1,000 · 10th to 90th $537 to $3,388Professionalmedian $891 · 10th to 90th $513 to $1,122
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $660.69 | Professional | None | $512.86 | $537.03 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,905.46 | Facility | None | $891.25 | $1,000.00 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | None | $831.76 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $6,606.93 | Facility | None | $758.58 | $2,630.27 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,122.02 | Professional | None | $891.25 | $933.25 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $6,165.95 | Facility | None | $1,659.59 | $2,630.27 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $794.33 Typical High $3,388.44 | Facility | None | $257.04 | $794.33 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $5,128.61 | Professional | None | $489.78 | $616.60 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Facility | None | $1,047.13 | $1,230.27 | $1,479.11 |
United Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $1,122.02 | Professional | None | $371.54 | $616.60 | $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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $51.29 | $53.70 | $53.70 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$891
HI $1,230UT $479
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.