How much rates vary
Facilitymedian $1,202 · 10th to 90th $617 to $3,890Professionalmedian $1,023 · 10th to 90th $617 to $1,288
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $707.95 | Professional | None | $562.34 | $616.60 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,230.27 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,019.95 Typical High $7,585.78 | Facility | None | $851.14 | $3,019.95 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,071.52 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $7,244.36 | Facility | None | $1,905.46 | $3,019.95 | $7,244.36 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $933.25 Typical High $3,890.45 | Facility | None | $295.12 | $933.25 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $6,456.54 | Professional | None | $524.81 | $691.83 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,445.44 | $1,737.80 |
United Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,348.96 | Professional | None | $416.87 | $691.83 | $1,348.96 |
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 $309.03 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $85.11 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
Where Minnesota sits
The same service costs 2.8 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
$1,023
HI $1,514UT $550
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.