How much rates vary
Facilitymedian $977 · 10th to 90th $676 to $4,365Professionalmedian $891 · 10th to 90th $407 to $1,413
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | None | $630.96 | $676.08 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $1,479.11 | Facility | None | $870.96 | $977.24 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Professional | None | $794.33 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,311.31 Typical High $8,317.64 | Facility | None | $512.86 | $3,311.31 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,202.26 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $7,943.28 | Facility | None | $2,137.96 | $3,388.44 | $7,943.28 |
Health Partners Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $977.24 Typical High $4,365.16 | Facility | None | $489.78 | $977.24 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $5,248.07 | Professional | None | $371.54 | $457.09 | $5,248.07 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Facility | None | $478.63 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $891.25 | Professional | None | $316.23 | $457.09 | $891.25 |
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 $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Where Minnesota sits
The same service costs 3.2 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· 3rd of 51
$933
HI $1,202DE $372
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.