How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,862 to $12,303Professionalmedian $2,399 · 10th to 90th $1,122 to $3,890
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Professional | None | $1,862.09 | $1,862.09 | $1,905.46 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $4,073.80 | Facility | None | $2,398.83 | $2,630.27 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $8,912.51 Typical High $22,908.68 | Facility | None | $1,548.82 | $8,912.51 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,235.94 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $5,754.40 Median $9,120.11 Typical High $21,379.62 | Facility | None | $5,754.40 | $9,120.11 | $21,379.62 |
Health Partners Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $12,302.69 | Facility | None | $1,412.54 | $2,691.53 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $15,135.61 | Professional | None | $1,047.13 | $1,318.26 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,570.40 | Professional | None | $870.96 | $1,318.26 | $2,570.40 |
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 $933.25 Median $933.25 Typical High $933.25 | Facility | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $954.99 | Professional | 52 · Reduced service | $933.25 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $190.55 |
Where Minnesota sits
The same service costs 3.1 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
$2,570
HI $3,467DE $1,122
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.