How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,413 to $10,000Professionalmedian $1,820 · 10th to 90th $851 to $2,951
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,412.54 | $1,412.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,819.70 | $1,995.26 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,621.81 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $6,760.83 Typical High $17,378.01 | Facility | None | $1,174.90 | $6,760.83 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,454.71 | $2,951.21 |
Health Partners Setting Facility Modifier None Typical Low $4,365.16 Median $6,918.31 Typical High $16,218.10 | Facility | None | $4,365.16 | $6,918.31 | $16,218.10 |
Health Partners Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $10,000.00 | Facility | None | $1,122.02 | $1,995.26 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $12,022.64 | Professional | None | $794.33 | $1,047.13 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $2,041.74 | Professional | None | $660.69 | $1,047.13 | $2,041.74 |
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 $691.83 Median $691.83 Typical High $691.83 | Facility | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Where Minnesota sits
The same service costs 3.3 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· 4th of 51
$1,950
HI $2,818DE $851
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.