How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,778 to $12,589Professionalmedian $2,344 · 10th to 90th $1,202 to $3,715
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,778.28 | $1,778.28 | $1,862.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,511.89 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $8,511.38 Typical High $21,877.62 | Facility | None | $1,621.81 | $8,511.38 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,090.30 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $5,495.41 Median $8,709.64 Typical High $20,892.96 | Facility | None | $5,495.41 | $8,709.64 | $20,892.96 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $12,589.25 | Facility | None | $1,479.11 | $2,630.27 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $15,135.61 | Professional | None | $1,000.00 | $1,348.96 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,513.56 | $3,311.31 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,630.27 | Professional | None | $851.14 | $1,318.26 | $2,630.27 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 55 · Aftercare only | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 53 · Discontinued | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $186.21 |
Where Minnesota sits
The same service costs 2.7 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· 10th of 51
$2,455
HI $3,236DE $1,202
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.