How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,514 to $9,772Professionalmedian $1,995 · 10th to 90th $871 to $3,090
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | None | $1,513.56 | $1,513.56 | $1,548.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $3,311.31 | Facility | None | $1,949.84 | $2,137.96 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,778.28 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $7,244.36 Typical High $18,620.87 | Facility | None | $1,174.90 | $7,244.36 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,162.28 | Professional | None | $2,511.89 | $2,630.27 | $3,162.28 |
Health Partners Setting Facility Modifier None Typical Low $4,677.35 Median $7,413.10 Typical High $17,782.79 | Facility | None | $4,677.35 | $7,413.10 | $17,782.79 |
Health Partners Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $9,772.37 | Facility | None | $1,071.52 | $2,238.72 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $13,803.84 | Professional | None | $851.14 | $977.24 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,905.46 | Professional | None | $691.83 | $977.24 | $1,905.46 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 52 · Reduced service | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $154.88 |
Where Minnesota sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 11th of 51
$2,042
HI $3,467PA $871
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.