How much rates vary
Facilitymedian $871 · 10th to 90th $617 to $4,677Professionalmedian $794 · 10th to 90th $417 to $1,288
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $794.33 Median $870.96 Typical High $1,348.96 | Facility | None | $794.33 | $870.96 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $891.25 | Professional | None | $707.95 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,951.21 Typical High $7,585.78 | Facility | None | $562.34 | $2,951.21 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,071.52 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $7,079.46 | Facility | None | $1,905.46 | $3,019.95 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $4,677.35 | Facility | None | $478.63 | $912.01 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $5,248.07 | Professional | None | $346.74 | $489.78 | $5,248.07 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,202.26 | Facility | None | $549.54 | $660.69 | $1,202.26 |
United Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $933.25 | Professional | None | $288.40 | $467.74 | $933.25 |
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 $309.03 Median $309.03 Typical High $309.03 | Facility | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 52 · Reduced service | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $64.57 |
Where Minnesota sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 8th of 51
$871
HI $1,230KS $339
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.