How much rates vary
Facilitymedian $1,318 · 10th to 90th $933 to $7,079Professionalmedian $1,230 · 10th to 90th $603 to $1,950
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $954.99 | Professional | None | $933.25 | $933.25 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,318.26 | $2,041.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,466.84 Typical High $11,481.54 | Facility | None | $831.76 | $4,466.84 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,621.81 | $1,949.84 |
Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $10,964.78 | Facility | None | $2,884.03 | $4,570.88 | $10,964.78 |
Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $7,079.46 | Facility | None | $794.33 | $1,380.38 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $12,882.50 | Professional | None | $524.81 | $724.44 | $12,882.50 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,412.54 | Professional | None | $446.68 | $707.95 | $1,412.54 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | 52 · Reduced service | $467.74 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 53 · Discontinued | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $95.50 |
Where Minnesota sits
The same service costs 5.4 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· 7th of 51
$1,318
HI $3,236DE $603
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.