How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,072 to $7,079Professionalmedian $1,413 · 10th to 90th $646 to $2,239
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,071.52 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,380.38 | $1,548.82 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $5,248.07 Typical High $13,182.57 | Facility | None | $851.14 | $5,248.07 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,905.46 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $12,589.25 | Facility | None | $3,388.44 | $5,370.32 | $12,589.25 |
Health Partners Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $7,079.46 | Facility | None | $741.31 | $1,548.82 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $8,709.64 | Professional | None | $602.56 | $741.31 | $8,709.64 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,819.70 | Facility | None | $630.96 | $776.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,479.11 | Professional | None | $512.86 | $741.31 | $1,479.11 |
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 $537.03 Median $537.03 Typical High $537.03 | Facility | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 52 · Reduced service | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 53 · Discontinued | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $109.65 |
Where Minnesota sits
The same service costs 3.0 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· 5th of 51
$1,479
HI $1,820DE $617
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.