How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,698 to $11,749Professionalmedian $2,188 · 10th to 90th $1,148 to $3,548
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,698.24 | $1,698.24 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,630.78 | Facility | None | $2,187.76 | $2,398.83 | $3,630.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $8,128.31 Typical High $20,892.96 | Facility | None | $1,698.24 | $8,128.31 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $3,548.13 | Professional | None | $2,754.23 | $2,951.21 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $5,248.07 Median $8,317.64 Typical High $19,498.45 | Facility | None | $5,248.07 | $8,317.64 | $19,498.45 |
Health Partners Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $11,748.98 | Facility | None | $1,380.38 | $2,511.89 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $14,454.40 | Professional | None | $954.99 | $1,258.93 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,513.56 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,454.71 | Professional | None | $794.33 | $1,258.93 | $2,454.71 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 52 · Reduced service | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 53 · Discontinued | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $173.78 |
Where Minnesota sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 5th of 51
$2,344
HI $3,388AZ $1,230
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.