How much rates vary
Facilitymedian $1,122 · 10th to 90th $776 to $5,495Professionalmedian $1,047 · 10th to 90th $513 to $1,660
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $831.76 | Professional | None | $660.69 | $794.33 | $831.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,737.80 | Facility | None | $1,023.29 | $1,122.02 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,715.35 Typical High $9,772.37 | Facility | None | $707.95 | $3,715.35 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,380.38 | $1,659.59 |
Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $9,120.11 | Facility | None | $2,454.71 | $3,890.45 | $9,120.11 |
Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $5,495.41 | Facility | None | $436.52 | $1,148.15 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $2,187.76 | Professional | None | $446.68 | $575.44 | $2,187.76 |
United Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $1,122.02 | Professional | None | $371.54 | $575.44 | $1,122.02 |
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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $83.18 |
Where Minnesota sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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
$1,072
HI $1,738MS $513
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.