How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,549 to $11,220Professionalmedian $2,042 · 10th to 90th $1,000 to $3,311
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,548.82 | $1,621.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,388.44 | Facility | None | $2,041.74 | $2,238.72 | $3,388.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $7,585.78 Typical High $19,498.45 | Facility | None | $1,318.26 | $7,585.78 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,311.31 | Professional | None | $2,570.40 | $2,754.23 | $3,311.31 |
Health Partners Setting Facility Modifier None Typical Low $4,897.79 Median $7,762.47 Typical High $18,197.01 | Facility | None | $4,897.79 | $7,762.47 | $18,197.01 |
Health Partners Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $11,220.18 | Facility | None | $1,258.93 | $2,290.87 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $13,489.63 | Professional | None | $891.25 | $1,148.15 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,258.93 | $2,818.38 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,290.87 | Professional | None | $741.31 | $1,148.15 | $2,290.87 |
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 $776.25 Median $776.25 Typical High $776.25 | Facility | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | 52 · Reduced service | $776.25 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 53 · Discontinued | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $162.18 |
Where Minnesota sits
The same service costs 2.9 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· 8th of 51
$2,188
HI $2,754DE $955
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.